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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JANELLE PROVOST, DC

Deactivated Sole Proprietor

JANELLE PROVOST, DC is a Chiropractor healthcare provider located in SAN JOSE, California. NPI 1124606140 is deactivated in the NPPES registry. Verify at CMS.

Chiropractor · SAN JOSE, CA

This NPI has been deactivated. The record was deactivated on December 16, 2021. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1124606140
Provider Type
Individual
Gender
Female
NPI Issued
Mar 31, 2021 (0.71232876712329 yrs)
Last Updated
Nov 1, 2023
Deactivated
Dec 16, 2021
License
35035 (CA)
Sole Proprietor
Yes

Practice Information

Address
1101 S WINCHESTER BLVD STE M257
SAN JOSE, CA, 951283904
Browse CA providers · Browse ZIP 95128
Phone
4085026358
Primary Specialty
Chiropractor
111N00000X

Other Chiropractor Providers in SAN JOSE, CA

Name Credential NPI
MR. DAVID DESALVO D.C. 1619960895
DR. DOUGLAS AARON GEORGE DC 1538152137
DR. COLLE HUNT JR. DC 1891788204
DR. THOMAS BYRNES OHARA DC 1811984008
DR. GIA-HUNG L PHAN DC 1841288842
DR. THOMAS ALAN AUSTIN D.C. 1144211103
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.