Provider Demographics
NPI:1568472843
Name:VORZIMER, JONAS DAVID (DC)
Entity Type:Individual
Prefix:DR
First Name:JONAS
Middle Name:DAVID
Last Name:VORZIMER
Suffix:
Gender:M
Credentials:DC
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Mailing Address - Street 1:675 YGNACLO VALLEY ROAD
Mailing Address - Street 2:SUITE B-210
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596
Mailing Address - Country:US
Mailing Address - Phone:925-927-4620
Mailing Address - Fax:925-927-4622
Practice Address - Street 1:675 YGNACLO VALLEY ROAD
Practice Address - Street 2:SUITE B-210
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596
Practice Address - Country:US
Practice Address - Phone:925-927-4620
Practice Address - Fax:925-927-4622
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA25193111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0251930Medicare UPIN