Provider Demographics
NPI:1649153289
Name:ARCHER, CONNOR LEON (DC)
Entity type:Individual
Prefix:DR
First Name:CONNOR
Middle Name:LEON
Last Name:ARCHER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:ANN
Other - Last Name:EBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:230 EL CERRITO PLZ
Mailing Address - Street 2:
Mailing Address - City:EL CERRITO
Mailing Address - State:CA
Mailing Address - Zip Code:94530-4003
Mailing Address - Country:US
Mailing Address - Phone:510-345-3045
Mailing Address - Fax:
Practice Address - Street 1:230 EL CERRITO PLZ
Practice Address - Street 2:
Practice Address - City:EL CERRITO
Practice Address - State:CA
Practice Address - Zip Code:94530-4003
Practice Address - Country:US
Practice Address - Phone:510-345-3045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAD37380111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor