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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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