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NPI Code Detail

MEDICARE: JARED SCOTT SWENSON DC

MEDICARE:   JARED SCOTT SWENSON  DC
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
1111N00000XChiropractor038.014023IL
2111N00000XChiropractor08003377AIN

General Provider Information

NPI Number : 1811770225
Entity Type Code : Individual
Provider Name (Legal Business Name) : JARED SCOTT SWENSON DC
Provider Business Mailing Address
First Line : 2397 GALENA DR APT 22
Second Line :
City : GREENWOOD
State : IN
Zip : 46143-6012
Country : US
Telephone Number : 224-542-0016
Fax Number :
Provider Business Practice Location Address
First Line : 11629 FOX RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46236-8422
Country : US
Telephone Number : 224-542-0016
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2023
Last Update Date : 08/17/2023

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Directions to “ JARED SCOTT SWENSON DC” Practice Location

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