MEDICARE: DR. JESSICA MARIE IGNACIO 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
1	111N00000X	Chiropractor	20080000536	MO
2	111N00000X	Chiropractor	08002410A	IN

General Provider Information

NPI Number	:	1255518791
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JESSICA MARIE IGNACIO D.C.

Provider Business Mailing Address
First Line	:	2732 MOUNT VERNON AVE
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47712-6754
Country	:	US
Telephone Number	:	812-425-5686
Fax Number	:	866-236-2775

Provider Business Practice Location Address
First Line	:	2732 MOUNT VERNON AVE
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47712-6754
Country	:	US
Telephone Number	:	812-425-5686
Fax Number	:	866-236-2775

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

Provider Enumeration Date	:	01/28/2008
Last Update Date	:	08/13/2024

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