Healthcare Provider Details

I. General information

NPI: 1740480292
Provider Name (Legal Business Name): ADJUST FIRST LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2007
Last Update Date: 06/23/2021
Certification Date: 06/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 MAIN ST
STEVENSVILLE MD
21666-4011
US

IV. Provider business mailing address

711 MAIN ST
STEVENSVILLE MD
21666-4011
US

V. Phone/Fax

Practice location:
  • Phone: 410-643-7100
  • Fax: 410-643-9493
Mailing address:
  • Phone: 410-643-7100
  • Fax: 410-643-9493

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License NumberS01284
License Number StateMD

VIII. Authorized Official

Name: DR. JOHN T JENNINGS III
Title or Position: CHIROPRACTOR
Credential: DC
Phone: 410-643-7100