Provider Demographics
NPI:1508878596
Name:LABINGER, JEFF (DC)
Entity Type:Individual
Prefix:DR
First Name:JEFF
Middle Name:
Last Name:LABINGER
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 1:6424 WATT AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH HIGHLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:95660-3612
Mailing Address - Country:US
Mailing Address - Phone:916-331-6983
Mailing Address - Fax:916-331-6987
Practice Address - Street 1:6424 WATT AVE
Practice Address - Street 2:
Practice Address - City:NORTH HIGHLANDS
Practice Address - State:CA
Practice Address - Zip Code:95660-3612
Practice Address - Country:US
Practice Address - Phone:916-331-6983
Practice Address - Fax:916-331-6987
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14961111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor