Provider Demographics
NPI:1528410347
Name:JAIN, SHIKHA (DC)
Entity Type:Individual
Prefix:
First Name:SHIKHA
Middle Name:
Last Name:JAIN
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 1:20221 WYANDOTTE ST
Mailing Address - Street 2:
Mailing Address - City:WINNETKA
Mailing Address - State:CA
Mailing Address - Zip Code:91306-3221
Mailing Address - Country:US
Mailing Address - Phone:818-621-2436
Mailing Address - Fax:
Practice Address - Street 1:190 LEAVESLEY RD
Practice Address - Street 2:SUITE 102
Practice Address - City:GILROY
Practice Address - State:CA
Practice Address - Zip Code:95020-3635
Practice Address - Country:US
Practice Address - Phone:408-848-0444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-05
Last Update Date:2016-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33535111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor