Provider Demographics
NPI:1497991525
Name:VRANKOVICH, GREGORY P (DC)
Entity Type:Individual
Prefix:
First Name:GREGORY
Middle Name:P
Last Name:VRANKOVICH
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:PO BOX 11105
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-0105
Mailing Address - Country:US
Mailing Address - Phone:510-655-3456
Mailing Address - Fax:510-655-3464
Practice Address - Street 1:311 OAK ST STE C2
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94607-4635
Practice Address - Country:US
Practice Address - Phone:510-655-3456
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-18
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31096111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor