Provider Demographics
NPI:1568694958
Name:CHELF, BRIDGET KATHLEEN (DC)
Entity Type:Individual
Prefix:DR
First Name:BRIDGET
Middle Name:KATHLEEN
Last Name:CHELF
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 1:509 S CEDROS AVE STE D
Mailing Address - Street 2:
Mailing Address - City:SOLANA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92075-2900
Mailing Address - Country:US
Mailing Address - Phone:858-792-7296
Mailing Address - Fax:858-792-8943
Practice Address - Street 1:509 S CEDROS AVE STE D
Practice Address - Street 2:
Practice Address - City:SOLANA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92075-2900
Practice Address - Country:US
Practice Address - Phone:858-792-7296
Practice Address - Fax:858-792-8943
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-18
Last Update Date:2009-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA24101111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor