MEDICARE: JENNIFER HASTINGS, DC, PA

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
1	111N00000X	Chiropractor	CH9092	FL

General Provider Information

NPI Number	:	1265682785
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JENNIFER HASTINGS, DC, PA

Provider Business Mailing Address
First Line	:	8604 GRIFFIN RD
Second Line	:
City	:	COOPER CITY
State	:	FL
Zip	:	33328-3719
Country	:	US
Telephone Number	:	954-533-2614
Fax Number	:	954-533-2615

Provider Business Practice Location Address
First Line	:	8604 GRIFFIN RD
Second Line	:
City	:	COOPER CITY
State	:	FL
Zip	:	33328-3719
Country	:	US
Telephone Number	:	954-533-2614
Fax Number	:	954-533-2615

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JENNIFER HASTINGS
Credential	:	DC
Telephone Number	:	954-533-2614

Provider Enumeration Date	:	09/19/2008
Last Update Date	:	09/19/2008

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