Elliott, Jerry Lee

Elliott, Jerry Lee is an sole proprietor health care provider with primary practice located at 1300 Bancroft Ave Suite 104, San Leandro CA 94577-5147. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Elliott, Jerry Lee can be contacted via phone (510) 357-9331.

Contact Information

Primary practice address
1300 Bancroft Ave Suite 104 San Leandro CA 94577-5147
Fax: (510) 351-6054
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 15191 California

Profile Details

NPI number 1639383052
LBN Legal business name Elliott, Jerry Lee
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2007
Last updated Jul 8th, 2007 - about 18 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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