Provider Demographics
NPI:1477769552
Name:BERNSTEIN, DONA JANE (DC)
Entity Type:Individual
Prefix:DR
First Name:DONA
Middle Name:JANE
Last Name:BERNSTEIN
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 1:150 SW 12TH AVENUE
Mailing Address - Street 2:SUITE 210E
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33069
Mailing Address - Country:US
Mailing Address - Phone:954-946-1999
Mailing Address - Fax:954-781-2144
Practice Address - Street 1:150 SW 12TH AVENUE
Practice Address - Street 2:SUITE 210E
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33069
Practice Address - Country:US
Practice Address - Phone:954-946-1999
Practice Address - Fax:954-781-2144
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0005466111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCH0005466OtherDEP OF HEALTH
FLCH0005466OtherDEP OF HEALTH