Provider Demographics
NPI:1205521580
Name:DALE GIESSMAN D.C., A CHIROPRACTIC CORPORATION
Entity type:Organization
Organization Name:DALE GIESSMAN D.C., A CHIROPRACTIC CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DALE
Authorized Official - Middle Name:
Authorized Official - Last Name:GIESSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:925-513-8883
Mailing Address - Street 1:1120 2ND ST STE A
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:94513-2234
Mailing Address - Country:US
Mailing Address - Phone:925-513-8883
Mailing Address - Fax:925-513-0724
Practice Address - Street 1:1120 2ND ST STE A
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:CA
Practice Address - Zip Code:94513-2234
Practice Address - Country:US
Practice Address - Phone:925-513-8883
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DALE GIESSMAN, DC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-04-11
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty