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NPI Code Detail

MEDICARE: DR. BENJAMIN JELINEK DC

MEDICARE: DR. BENJAMIN JELINEK 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
1111N00000XChiropractorCHR.0007443CO

General Provider Information

NPI Number : 1376993550
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BENJAMIN JELINEK DC
Provider Business Mailing Address
First Line : 4617 AUSTIN BLUFFS PKWY
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-2937
Country : US
Telephone Number : 719-277-7325
Fax Number : 719-591-0140
Provider Business Practice Location Address
First Line : 4617 AUSTIN BLUFFS PKWY
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-2937
Country : US
Telephone Number : 719-277-7325
Fax Number : 719-591-0140
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2016
Last Update Date : 06/17/2016

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