Provider Demographics
NPI:1457499147
Name:VAN SLOOTEN, PAIGE CHRISTINE (DC)
Entity Type:Individual
Prefix:DR
First Name:PAIGE
Middle Name:CHRISTINE
Last Name:VAN SLOOTEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1811 PASEO LAGUNA SECO
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94551-1678
Mailing Address - Country:US
Mailing Address - Phone:925-449-9435
Mailing Address - Fax:
Practice Address - Street 1:7950 DUBLIN BLVD STE 103B
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-2936
Practice Address - Country:US
Practice Address - Phone:925-560-0700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-30136111NT0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NT0100XChiropractic ProvidersChiropractorThermography