Provider Demographics
NPI:1356423917
Name:TEEL, RICHARD FRANKLIN (DC)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:FRANKLIN
Last Name:TEEL
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 1:920 SHERMAN AVE
Mailing Address - Street 2:
Mailing Address - City:NOVATO
Mailing Address - State:CA
Mailing Address - Zip Code:94945-3244
Mailing Address - Country:US
Mailing Address - Phone:415-209-9600
Mailing Address - Fax:415-893-1094
Practice Address - Street 1:920 SHERMAN AVE
Practice Address - Street 2:
Practice Address - City:NOVATO
Practice Address - State:CA
Practice Address - Zip Code:94945-3244
Practice Address - Country:US
Practice Address - Phone:415-209-9600
Practice Address - Fax:415-893-1094
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC20816111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor