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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
1111N00000XChiropractorDC31314CA

General Provider Information

NPI Number : 1811222987
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 : OFFICE MANAGER
Name : MS. ANN H ROE
Credential :
Telephone Number : 619-444-4792
Provider Enumeration Date : 10/07/2009
Last Update Date : 10/07/2009

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Directions to “JESPERSON CHIROPRACTIC, INC ” Practice Location

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