Provider Demographics
NPI:1649640608
Name:STONER, JANIS JEAN (DC)
Entity type:Individual
Prefix:
First Name:JANIS
Middle Name:JEAN
Last Name:STONER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 BOWHILL RD
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:CA
Mailing Address - Zip Code:94010-6948
Mailing Address - Country:US
Mailing Address - Phone:650-347-4286
Mailing Address - Fax:
Practice Address - Street 1:710 BOWHILL RD
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:CA
Practice Address - Zip Code:94010-6948
Practice Address - Country:US
Practice Address - Phone:650-347-4286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-03
Last Update Date:2015-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13884111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor