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NPI Code Detail

MEDICARE: PHILLIP R JEANMENNE B.S., D.C.

MEDICARE: PHILLIP R JEANMENNE B.S., 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
1111N00000XChiropractorDC-005036-LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316931553
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILLIP R JEANMENNE B.S., D.C.
Provider Business Mailing Address
First Line : 1776 S QUEEN ST # 101-B
Second Line :
City : YORK
State : PA
Zip : 17403-4628
Country : US
Telephone Number : 717-848-5400
Fax Number : 717-848-1071
Provider Business Practice Location Address
First Line : 1776 S QUEEN ST # 101-B
Second Line :
City : YORK
State : PA
Zip : 17403-4628
Country : US
Telephone Number : 717-848-5400
Fax Number : 717-848-1071
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2005
Last Update Date : 09/10/2015

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Directions to “ PHILLIP R JEANMENNE B.S., D.C.” Practice Location

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