Provider Demographics
NPI:1720273014
Name:CHATFIELD, ROBERT DAN III (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:DAN
Last Name:CHATFIELD
Suffix:III
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 1:409 ALBERTO WAY
Mailing Address - Street 2:STE. 3
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-5407
Mailing Address - Country:US
Mailing Address - Phone:831-840-7459
Mailing Address - Fax:408-356-2608
Practice Address - Street 1:409 ALBERTO WAY
Practice Address - Street 2:STE. 3
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-5407
Practice Address - Country:US
Practice Address - Phone:831-840-7459
Practice Address - Fax:408-356-2608
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-10
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15165111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor