Bourla, Jack Martin
Bourla, Jack Martin is an sole proprietor health care provider with primary practice located at 499 Seaport Ct Suite 101, Redwood City CA 94063-2783. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bourla, Jack Martin can be contacted via phone (650) 365-1473.Contact Information
Primary practice address
499 Seaport Ct Suite 101
Redwood City CA 94063-2783
Phone: (650) 365-1473
Fax: (650) 365-1474
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | DC25312 | California |
Profile Details
| NPI number | 1013055755 |
|---|---|
| LBN Legal business name | Bourla, Jack Martin |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 2nd, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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