Provider Demographics
NPI:1457535999
Name:DANCY, PAUL E JR (DC)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:E
Last Name:DANCY
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1155 3RD STREET
Mailing Address - Street 2:SUITE 130
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94607
Mailing Address - Country:US
Mailing Address - Phone:510-268-9450
Mailing Address - Fax:510-268-9452
Practice Address - Street 1:1155 3RD ST
Practice Address - Street 2:SUITE 130
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94607-2663
Practice Address - Country:US
Practice Address - Phone:510-268-9450
Practice Address - Fax:510-268-9452
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-19
Last Update Date:2009-08-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CADC30755111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor