MEDICARE: DR. BARBARA LAYNE JENNINGS 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
1	111NN1001X	Nutrition Chiropractor	6316	CO

General Provider Information

NPI Number	:	1700109618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARBARA LAYNE JENNINGS DC

Provider Business Mailing Address
First Line	:	1015 W HORSETOOTH RD
Second Line	:	SUITE 210
City	:	FORT COLLINS
State	:	CO
Zip	:	80526-5978
Country	:	US
Telephone Number	:	970-282-7706
Fax Number	:	970-223-2439

Provider Business Practice Location Address
First Line	:	4327 MESA VIEW LN
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80526-3378
Country	:	US
Telephone Number	:	970-282-7706
Fax Number	:	970-223-2439

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

Provider Enumeration Date	:	03/05/2010
Last Update Date	:	09/23/2010

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