JERRY LEE ELLIOTT D.C.
NPI 1639383052
Chiropractor in San Leandro, CA

Q: What is the provider's specialty?

The provider's specialty is Chiropractor with taxonomy code 111N00000X.

Active since May 09, 2007

1300 BANCROFT AVE, SUITE 104, SAN LEANDRO, CA 94577(510) 357-9331(510) 351-6054 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jerry Lee Elliott D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY LEE ELLIOTT D.C. (NPI 1639383052) is an individual chiropractor in San Leandro, California, licensed in California (15191) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1639383052

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameJERRY LEE ELLIOTTCredential: D.C.

Location Address1300 BANCROFT AVE, SUITE 104San Leandro, CA 94577-5147

Mailing Address1300 Bancroft Ave, Suite 104San Leandro, CA 94577-5147 · (510) 357-9331 · Fax (510) 351-6054

Phone(510) 357-9331

Fax(510) 351-6054

Sole ProprietorYes

Enumeration DateMay 9, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1639383052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in CA · 15191

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

1300 BANCROFT AVE, San Leandro, CA 94577

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