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NPI Code Detail

MEDICARE: JESPERSON CHIROPRACTIC INC

MEDICARE: JESPERSON CHIROPRACTIC INC
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
1111N00000XChiropractor

General Provider Information

NPI Number : 1457385080
Entity Type Code : Organization
Provider Name (Legal Business Name) : JESPERSON CHIROPRACTIC INC
Provider Business Mailing Address
First Line : 1333 N 2ND ST
Second Line :
City : EL CAJON
State : CA
Zip : 92021-3434
Country : US
Telephone Number : 619-444-4792
Fax Number : 619-444-4892
Provider Business Practice Location Address
First Line : 1333 N 2ND ST
Second Line :
City : EL CAJON
State : CA
Zip : 92021-3434
Country : US
Telephone Number : 619-444-4792
Fax Number : 619-444-4892
Authorized Official
Title or Position : CEO
Name : R CHRISTIAN JESPERSON
Credential : DC
Telephone Number : 619-444-4792
Provider Enumeration Date : 07/10/2006
Last Update Date : 08/24/2011

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Directions to “JESPERSON CHIROPRACTIC INC ” Practice Location

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