Provider Demographics
NPI:1629369574
Name:NAWEED CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:NAWEED CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JAWEED
Authorized Official - Middle Name:AHMAD
Authorized Official - Last Name:NAWEED
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:510-384-8653
Mailing Address - Street 1:1891 SAINT CHARLES ST
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-1132
Mailing Address - Country:US
Mailing Address - Phone:510-384-8653
Mailing Address - Fax:
Practice Address - Street 1:292 4TH ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94607-4332
Practice Address - Country:US
Practice Address - Phone:510-384-8653
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-27
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC31753111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty