Healthcare Provider Details
I. General information
NPI: 1306850748
Provider Name (Legal Business Name): JESTER FAMILY CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/29/2006
Last Update Date: 02/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
620 W STRASBURG RD
WEST CHESTER PA
19382-1955
US
IV. Provider business mailing address
620 W STRASBURG RD
WEST CHESTER PA
19382-1955
US
V. Phone/Fax
- Phone: 610-696-6676
- Fax:
- Phone: 610-696-6676
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JENNIFER
JESTER
Title or Position: OWNER/CHIRO
Credential: DC
Phone: 610-696-6676