Deatherage, Jeffery Michael

Deatherage, Jeffery Michael is an sole proprietor health care provider with primary practice located at 2365 Seal Beach Blvd Ste 101 , Seal Beach CA 90740-5622. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Deatherage, Jeffery Michael can be contacted via phone (562) 354-5120.

Contact Information

Primary practice address
2365 Seal Beach Blvd Ste 101 Seal Beach CA 90740-5622
Phone: (562) 354-5120
Fax: (844) 314-9911
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CHIR008838 Georgia
Chiropractic Providers / Chiropractor 111N00000X 038012390 Illinois
Chiropractic Providers / Chiropractor 111N00000X DC36163 California

Profile Details

NPI number 1962784595
LBN Legal business name Deatherage, Jeffery Michael
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2011
Last updated Dec 8th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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