MEDICARE: TRENTON CHIROPRACTIC CENTER, PC

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

General Provider Information

NPI Number	:	1548912819
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRENTON CHIROPRACTIC CENTER, PC

Provider Business Mailing Address
First Line	:	115 W JONES ST
Second Line	:
City	:	TRENTON
State	:	NC
Zip	:	28585-7599
Country	:	US
Telephone Number	:	252-675-2410
Fax Number	:	844-601-5946

Provider Business Practice Location Address
First Line	:	115 W JONES ST
Second Line	:
City	:	TRENTON
State	:	NC
Zip	:	28585-7599
Country	:	US
Telephone Number	:	252-675-2410
Fax Number	:	844-601-5946

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ASHLEY SIMPSON JONES
Credential	:	DC
Telephone Number	:	252-448-4561

Provider Enumeration Date	:	01/19/2022
Last Update Date	:	01/19/2022

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