MEDICARE: JENNIFER ANN NETTER DC

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	X010246-2	NY

General Provider Information

NPI Number	:	1235224213
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER ANN NETTER DC

Provider Business Mailing Address
First Line	:	8 STONE ST
Second Line	:
City	:	DANBURY
State	:	CT
Zip	:	06810-8034
Country	:	US
Telephone Number	:	631-804-5806
Fax Number	:

Provider Business Practice Location Address
First Line	:	3715 MAIN ST
Second Line	:	SUITE 100
City	:	BRIDGEPORT
State	:	CT
Zip	:	06606-3618
Country	:	US
Telephone Number	:	203-371-6200
Fax Number	:	203-374-4601

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	07/08/2007

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Directions to “ JENNIFER ANN NETTER DC” Practice Location

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