Provider Demographics
NPI:1902883309
Name:CRITES, RENEE OWNBEY (DC)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:OWNBEY
Last Name:CRITES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:RENEE
Other - Middle Name:
Other - Last Name:OWNBEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:15900 ROCHIN TER
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-4820
Mailing Address - Country:US
Mailing Address - Phone:408-358-0893
Mailing Address - Fax:
Practice Address - Street 1:1360 N WINCHESTER BLVD STE 4
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-1150
Practice Address - Country:US
Practice Address - Phone:408-241-6967
Practice Address - Fax:408-241-0602
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-27
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC22426111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor