JACOB VAN WICKLE (NPI# 1043640147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043640147 |
| Entity Type | Individual |
| Full Name | JACOB VAN WICKLE |
| Credential | D.C. |
| Practice Address |
306 E Cota St Suite A Santa Barbara CA 93101-7606 |
| Practice Telephone | 8058455777 |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2013-11-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 32758 | CA | Chiropractic Providers |
| Street Address |
306 E COTA ST SUITE A |
| City | SANTA BARBARA |
| State | CA |
| Zip Code | 93101-7606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962035998 | Danielle Marie Lauser | Marriage & Family Therapist | 735 State Street, Suite 416a, Santa Barbara, CA 93101 | 2020-02-18 |
| 1578056560 | Recovery Santa Barbara, Inc. | Voluntary or Charitable | 1532 Castillo Street, Main House and Units A and B, Santa Barbara, CA 93101 | 2018-06-13 |
| 1730678798 | Igor Lantsberg | Dentist | 31 W Gutierrez St, Santa Barbara, CA 93101 | 2018-05-05 |
| 1477071900 | Liliana De La Rocha | Counselor | 123 W Gutierrez Street, Santa Barbara, CA 93101 | 2017-09-05 |
| 1023531613 | Julie Roman | Counselor | 324 E Carrillo St Ste C, Santa Barbara, CA 93101 | 2017-07-25 |
| 1538689849 | Alejandra Sanchez | Counselor | 107 East Micheltorena St., Santa Barbara, CA 93101 | 2017-06-27 |
| 1205374725 | Suzanne Marlow | Marriage & Family Therapist | 27 East Victoria Street #m, Santa Barbara, CA 93101 | 2017-02-03 |
| 1063878395 | Kelly James Berger | Counselor | 133 East Haley Street, Santa Barbara, CA 93101 | 2015-12-31 |
| 1982080180 | Council On Alcohol and Drug Abuse | Early Intervention Provider Agency | 111 Garden Street, Santa Barbara, CA 93101 | 2015-08-11 |
| 1548656580 | Stella Sacks | Counselor | 107 E. Micheltorena Street, Santa Barbara, CA 93101 | 2015-04-07 |
| Find all providers in zip 93101 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382828 | Antonia Juliette Forsyth | Chiropractor | 23 Hitchcock Way Ste 110, Santa Barbara, CA 93105-6157 | 2020-10-01 |
| 1912530304 | Hunter Thomas Ford | Chiropractor | 1933 Cliff Dr Ste 5, Santa Barbara, CA 93109-1576 | 2020-02-13 |
| 1659855054 | Fredrick Lee Polizo | Chiropractor | 18 W Micheltorena St Ste A, Santa Barbara, CA 93101-6528 | 2018-09-20 |
| 1932686961 | Matthew Thomas Miller | Chiropractor | 4791 Calle Real Ste 103, Santa Barbara, CA 93110-1308 | 2018-07-23 |
| 1801399928 | Kimberly Johnson | Chiropractor | 487 N Turnpike Rd, Santa Barbara, CA 93111-1955 | 2018-03-15 |
| 1114393584 | Neils Larson | Chiropractor | 5350 Hollister Ave Ste A3, Santa Barbara, CA 93111-2326 | 2015-08-19 |
| 1851772131 | Nicholas Hall | Chiropractor | 3888 State St, Suite 203, Santa Barbara, CA 93105-3164 | 2015-06-12 |
| 1063813459 | Ryan Aaron Rogers | Chiropractor | 123 W Padre St Ste E, Santa Barbara, CA 93105-3960 | 2014-09-04 |
| 1568800449 | Steve Hewitt | Chiropractor | 5370 Hollister Ave Ste K, Santa Barbara, CA 93111-2359 | 2013-06-12 |
| 1770820458 | Jacquelin Charles | Chiropractor | 1114 Garden St Apt 4, Santa Barbara, CA 93101-1350 | 2013-01-14 |
| Find all providers in SANTA BARBARA | ||||
| City | SANTA BARBARA |
| Zip Code | 93101 |
Please comment or provide details below to improve the information on JACOB VAN WICKLE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.