Provider Demographics
NPI:1720157282
Name:ROSENFELD, DORRIN B (DC)
Entity Type:Individual
Prefix:DR
First Name:DORRIN
Middle Name:B
Last Name:ROSENFELD
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 1:326 DE ANZA DR
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94589-2632
Mailing Address - Country:US
Mailing Address - Phone:707-557-5471
Mailing Address - Fax:
Practice Address - Street 1:326 DE ANZA DR
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94589-2632
Practice Address - Country:US
Practice Address - Phone:707-557-5471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22450111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology