Provider Demographics
NPI:1417954132
Name:MAGEE, DENISE ELIZABETH (D C)
Entity Type:Individual
Prefix:DR
First Name:DENISE
Middle Name:ELIZABETH
Last Name:MAGEE
Suffix:
Gender:F
Credentials:D C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 WHIPPLE AVE
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063-1228
Mailing Address - Country:US
Mailing Address - Phone:650-366-2104
Mailing Address - Fax:650-365-1772
Practice Address - Street 1:703 WHIPPLE AVE
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-1228
Practice Address - Country:US
Practice Address - Phone:650-366-2104
Practice Address - Fax:650-365-1772
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-07
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC18518111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0185180OtherPIN NUMBER
CAU19840Medicare UPIN