MEDICARE: MRS. JENNIFER FRANCES NOWAK 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
1	111N00000X	Chiropractor	2979	OH

General Provider Information

NPI Number	:	1790880029
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER FRANCES NOWAK D.C.

Provider Business Mailing Address
First Line	:	1219 COUNTY LINE ROAD
Second Line	:	SUITE B
City	:	WESTERVILLE
State	:	OH
Zip	:	43081-6001
Country	:	US
Telephone Number	:	614-425-3986
Fax Number	:	614-423-7068

Provider Business Practice Location Address
First Line	:	1219 COUNTY LINE ROAD
Second Line	:	SUITE B
City	:	WESTERVILLE
State	:	OH
Zip	:	43081-6001
Country	:	US
Telephone Number	:	614-425-3986
Fax Number	:	614-423-7068

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	10/11/2019

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