Provider Demographics
NPI:1790851145
Name:MCCAFFREY, JANET ROSALIE (DC)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:ROSALIE
Last Name:MCCAFFREY
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 1:1100 LAUREL ST., SUITE B
Mailing Address - Street 2:
Mailing Address - City:SAN CARLOS
Mailing Address - State:CA
Mailing Address - Zip Code:94070
Mailing Address - Country:US
Mailing Address - Phone:415-695-7819
Mailing Address - Fax:415-695-9449
Practice Address - Street 1:1100 LAUREL ST., SUITE B
Practice Address - Street 2:
Practice Address - City:SAN CARLOS
Practice Address - State:CA
Practice Address - Zip Code:94070
Practice Address - Country:US
Practice Address - Phone:650-598-5414
Practice Address - Fax:650-508-4566
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC29403111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor