MEDICARE: JN CHIROPRACTIC SERVICES

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	X010180	NY

General Provider Information

NPI Number	:	1710114814
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JN CHIROPRACTIC SERVICES

Provider Business Mailing Address
First Line	:	505 COURT ST
Second Line	:	APT 4K
City	:	BROOKLYN
State	:	NY
Zip	:	11231-3949
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	505 COURT ST
Second Line	:	APT 4K
City	:	BROOKLYN
State	:	NY
Zip	:	11231-3949
Country	:	US
Telephone Number	:	718-624-2699
Fax Number	:

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. JARED R HOFFMAN
Credential	:	DC
Telephone Number	:	718-624-2699

Provider Enumeration Date	:	06/16/2009
Last Update Date	:	06/16/2009

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