MEDICARE: JEMD

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
1	111N00000X	Chiropractor	1607	AL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	4410001	OTHER	AL	MEDICARE COMPLETE
5	350040014	OTHER	AL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5627563	OTHER	AL	AETNA HEALTHCARE
2	656333	OTHER	AL	VIVA HEALTH CARE
4	51500604	OTHER	AL	BLUE CROSS
6	4410001	OTHER	AL	UNITED HEALTH CARE

General Provider Information

NPI Number	:	1164688560
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JEMD

Provider Business Mailing Address
First Line	:	50 MANNING PL
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35242-1809
Country	:	US
Telephone Number	:	205-664-7707
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 MANNING PL
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35242-1809
Country	:	US
Telephone Number	:	205-664-7707
Fax Number	:

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. JESSICA DIETRICH-MARSH
Credential	:	D.C.
Telephone Number	:	205-664-7707

Provider Enumeration Date	:	08/05/2008
Last Update Date	:	08/10/2023

Similar Medicare Providers

1770586760 — DR. HARRELL SCOTT RUSSELL D.M.D.
Practice Location Address:

58 MANNING PL
BIRMINGHAM, AL
35242-1809

Practice Phone: 205-408-3882
Practice Fax: 205-408-3884

1174617716 — MATTHEW N PARKER M.D.
Practice Location Address:

50 MANNING PL
BIRMINGHAM, AL
35242-1809

Practice Phone: 205-995-4690
Practice Fax: 205-995-4695

1134203789 — DR. JESSICA DIETRICH-MARSH D.C.
Practice Location Address:

50 MANNING PL
BIRMINGHAM, AL
35242-1809

Practice Phone: 205-664-7707
Practice Fax:

1134318264 — MARSH PC DBA SPCC MT LAUREL
Practice Location Address:

50 MANNING PL
BIRMINGHAM, AL
35242-1809

Practice Phone: 205-437-8837
Practice Fax: 205-437-3705

1548435399 — MARSH PC DBA SPCC MT LAUREL
Practice Location Address:

50 MANNING PL
BIRMINGHAM, AL
35242-1809

Practice Phone: 205-437-8837
Practice Fax: 205-437-3705

1598064990 — JEREMY H JOHNSEY RPH
Practice Location Address:

34 MANNING PL
BIRMINGHAM, AL
35242-1809

Practice Phone: 205-991-5265
Practice Fax: 205-991-5295

Directions to “JEMD ” Practice Location

Language	Start Address	Practice Location

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