Provider Demographics
NPI:1952480378
Name:DANCY, CHERI R (DC)
Entity Type:Individual
Prefix:DR
First Name:CHERI
Middle Name:R
Last Name:DANCY
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 1:675 HEGENBERGER RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94621-1919
Mailing Address - Country:US
Mailing Address - Phone:510-777-1364
Mailing Address - Fax:510-777-1365
Practice Address - Street 1:675 HEGENBERGER RD
Practice Address - Street 2:SUITE 220
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94621-1919
Practice Address - Country:US
Practice Address - Phone:510-777-1364
Practice Address - Fax:510-777-1365
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27359111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0273590Medicare ID - Type Unspecified