Provider Demographics
NPI:1437423233
Name:SAENZ, JESSE JOHN (DC)
Entity Type:Individual
Prefix:DR
First Name:JESSE
Middle Name:JOHN
Last Name:SAENZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1631 EXECUTIVE CT
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95864-2607
Mailing Address - Country:US
Mailing Address - Phone:916-488-8400
Mailing Address - Fax:916-488-0461
Practice Address - Street 1:1631 EXECUTIVE CT
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95864-2607
Practice Address - Country:US
Practice Address - Phone:916-488-8400
Practice Address - Fax:916-488-0461
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-27
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32178111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor