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NPI Code Detail

MEDICARE: DR. JENNIFER RENE STORY-WOLF D.C.

MEDICARE:  DR. JENNIFER RENE STORY-WOLF  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
1111N00000XChiropractor6081CO

General Provider Information

NPI Number : 1588965867
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER RENE STORY-WOLF D.C.
Provider Business Mailing Address
First Line : 7355 W 88TH AVE UNIT R
Second Line :
City : WESTMINSTER
State : CO
Zip : 80021-6481
Country : US
Telephone Number : 303-432-3301
Fax Number : 303-432-3063
Provider Business Practice Location Address
First Line : 7355 W 88TH AVE UNIT R
Second Line :
City : WESTMINSTER
State : CO
Zip : 80021-6481
Country : US
Telephone Number : 303-432-3301
Fax Number : 303-432-3063
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2010
Last Update Date : 11/03/2010

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Directions to “ DR. JENNIFER RENE STORY-WOLF D.C.” Practice Location

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