Provider Demographics
NPI:1952485831
Name:DELCARLO, STANLEY ARNOLD (DC)
Entity Type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:ARNOLD
Last Name:DELCARLO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20432 SILVERADO AVE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-4454
Mailing Address - Country:US
Mailing Address - Phone:408-252-1861
Mailing Address - Fax:408-255-1927
Practice Address - Street 1:20432 SILVERADO AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-4454
Practice Address - Country:US
Practice Address - Phone:408-252-1861
Practice Address - Fax:408-255-1927
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC14001111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ31944ZMedicare UPIN