=====================================================
General NPI Number Information
=====================================================
NPI Number | 1295955375
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JENNIFER L FRANZ BS DC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/30/2007
-----------------------------------------------------
Last Update Date | 11/15/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 570 MOUNTAIN AVE
-----------------------------------------------------
City | GILLETTE
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07933
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 908-500-0110
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 570 MOUNTAIN AVE
-----------------------------------------------------
City | GILLETTE
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07933-2028
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 908-500-0110
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | DC008946
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | MC006029000
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------