Provider Demographics
NPI:1528208352
Name:GARELICK CHIROPRACTIC INC
Entity Type:Organization
Organization Name:GARELICK CHIROPRACTIC INC
Other - Org Name:JEFFREY GEORGE TOTAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:GARELICK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:510-414-2905
Mailing Address - Street 1:311 CORBETT AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-1859
Mailing Address - Country:US
Mailing Address - Phone:510-414-2905
Mailing Address - Fax:415-864-4904
Practice Address - Street 1:3705 17TH ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94114-2021
Practice Address - Country:US
Practice Address - Phone:510-414-2905
Practice Address - Fax:415-864-4904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-06
Last Update Date:2009-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-31071111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty