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JOHN DAVID BEASON D.C.
>> Chiropractor >> Chiropractic ProvidersRegistrant NPI Number: 1891914172
Individual Registrant: JOHN DAVID BEASON D.C.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
39899 BALENTINE DR SUITE 310 NEWARK, CA 94560-5355 US
Tel: 510-252-1707 Fax: --
Tel: 510-252-1707 Fax: --
Contact information for business:
39899 BALENTINE DR SUITE 310 NEWARK, CA 94560-5355 US
Tel: 510-252-1707 Fax: --
Tel: 510-252-1707 Fax: --
Registration Information:
NPI: 1891914172
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractic Providers Chiropractor | CA | DC25408 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
