Healthcare Provider Details

I. General information

NPI: 1346488152
Provider Name (Legal Business Name): JESSICA BARBARA SPINDEL M.S.A.C.N., D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2009
Last Update Date: 09/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49 QUARTERMASTER CT
JEFFERSONVILLE IN
47130-3623
US

IV. Provider business mailing address

49 QUARTERMASTER CT
JEFFERSONVILLE IN
47130-3623
US

V. Phone/Fax

Practice location:
  • Phone: 812-218-1933
  • Fax: 812-285-1882
Mailing address:
  • Phone: 812-218-1933
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number08002475A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: