Provider Demographics
NPI:1023138203
Name:NEVEL, SALVADOR (DC)
Entity type:Individual
Prefix:DR
First Name:SALVADOR
Middle Name:
Last Name:NEVEL
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 1:3022 INTERNATIONAL BLVD STE 511
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94601-2224
Mailing Address - Country:US
Mailing Address - Phone:510-534-7924
Mailing Address - Fax:888-821-9557
Practice Address - Street 1:3022 INTERNATIONAL BLVD STE 511
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94601-2224
Practice Address - Country:US
Practice Address - Phone:510-534-7924
Practice Address - Fax:888-821-9557
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC25987111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor