Provider Demographics
NPI:1215141239
Name:PRICE, NANCI R (DC)
Entity type:Individual
Prefix:
First Name:NANCI
Middle Name:R
Last Name:PRICE
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 1:100 OCONNOR DR
Mailing Address - Street 2:SUITE 27
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-1647
Mailing Address - Country:US
Mailing Address - Phone:408-287-2225
Mailing Address - Fax:408-287-2280
Practice Address - Street 1:100 OCONNOR DR
Practice Address - Street 2:SUITE 27
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-1647
Practice Address - Country:US
Practice Address - Phone:408-287-2225
Practice Address - Fax:408-287-2280
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2009-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC0224400111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor