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NPI Code Detail

MEDICARE: DR. JENNIFER BULGER D.C.

MEDICARE: DR. JENNIFER BULGER D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor70011965NY
2111N00000XChiropractor944WV

General Provider Information

NPI Number : 1013210327
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER BULGER D.C.
Provider Business Mailing Address
First Line : 713 BIGLEY AVE
Second Line :
City : CHARLESTON
State : WV
Zip : 25302-3356
Country : US
Telephone Number : 304-344-2225
Fax Number : 304-344-2226
Provider Business Practice Location Address
First Line : 713 BIGLEY AVE
Second Line :
City : CHARLESTON
State : WV
Zip : 25302-3356
Country : US
Telephone Number : 304-344-2225
Fax Number : 304-344-2226
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2010
Last Update Date : 11/18/2015

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