MEDICARE: DR. SHARON ANN JAEGER D.C., D.A.C.B.R.

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	111NR0200X	Radiology Chiropractor	DC12717	CA

General Provider Information

NPI Number	:	1487721973
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHARON ANN JAEGER D.C., D.A.C.B.R.

Provider Business Mailing Address
First Line	:	5301 LAUREL CANYON BLVD
Second Line	:	SUITE 120
City	:	VALLEY VILLAGE
State	:	CA
Zip	:	91607-2736
Country	:	US
Telephone Number	:	818-980-8444
Fax Number	:	818-368-1552

Provider Business Practice Location Address
First Line	:	5301 LAUREL CANYON BLVD
Second Line	:	SUITE 120
City	:	VALLEY VILLAGE
State	:	CA
Zip	:	91607-2736
Country	:	US
Telephone Number	:	818-980-8444
Fax Number	:	818-368-1552

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2006
Last Update Date	:	07/08/2007

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