Provider Demographics
NPI:1063778165
Name:ESSL, BRIGITTE (DC)
Entity type:Individual
Prefix:DR
First Name:BRIGITTE
Middle Name:
Last Name:ESSL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3030 BRIDGEWAY STE 101
Mailing Address - Street 2:
Mailing Address - City:SAUSALITO
Mailing Address - State:CA
Mailing Address - Zip Code:94965-2836
Mailing Address - Country:US
Mailing Address - Phone:415-380-0630
Mailing Address - Fax:800-736-9882
Practice Address - Street 1:3030 BRIDGEWAY STE 101
Practice Address - Street 2:
Practice Address - City:SAUSALITO
Practice Address - State:CA
Practice Address - Zip Code:94965-2836
Practice Address - Country:US
Practice Address - Phone:415-380-0630
Practice Address - Fax:800-736-9882
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-03
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC28227111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor