Provider Demographics
NPI:1982734216
Name:JAY T. SILVERMAN, D.C. AND ALISON D. SILVERMAN, D.C.,
Entity Type:Organization
Organization Name:JAY T. SILVERMAN, D.C. AND ALISON D. SILVERMAN, D.C.,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF CORPORATION
Authorized Official - Prefix:DR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:T
Authorized Official - Last Name:SILVERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:818-774-3535
Mailing Address - Street 1:19231 VICTORY BLVD STE 557
Mailing Address - Street 2:
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-6379
Mailing Address - Country:US
Mailing Address - Phone:818-774-3535
Mailing Address - Fax:
Practice Address - Street 1:19231 VICTORY BLVD STE 557
Practice Address - Street 2:
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-6379
Practice Address - Country:US
Practice Address - Phone:818-774-3535
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty