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NPI Code Detail

MEDICARE: DR. JEANA FORANT DC

MEDICARE:  DR. JEANA  FORANT  DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor001867CT

General Provider Information

NPI Number : 1093017527
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEANA FORANT DC
Provider Business Mailing Address
First Line : 66 KINGSLAND AVE
Second Line :
City : WALLINGFORD
State : CT
Zip : 06492-3927
Country : US
Telephone Number : 203-626-5266
Fax Number :
Provider Business Practice Location Address
First Line : 200 QUEEN ST
Second Line :
City : SOUTHINGTON
State : CT
Zip : 06489-1901
Country : US
Telephone Number : 860-621-2225
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2010
Last Update Date : 12/05/2010

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Directions to “ DR. JEANA FORANT DC” Practice Location

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