Healthcare Provider Details

I. General information

NPI: 1689638967
Provider Name (Legal Business Name): BARBARA JANSSEN JANSSEN D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2015 W HAMILTON ST SUITE 204
ALLENTOWN PA
18104-6447
US

IV. Provider business mailing address

2015 W HAMILTON ST SUITE 204
ALLENTOWN PA
18104-6447
US

V. Phone/Fax

Practice location:
  • Phone: 610-435-8880
  • Fax: 610-435-3494
Mailing address:
  • Phone: 610-435-8880
  • Fax: 610-435-3494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License NumberDC002236L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: