MEDICARE: DR. JENNIFER HASTINGS 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
1	111N00000X	Chiropractor	CH9092	FL

General Provider Information

NPI Number	:	1891865580
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER HASTINGS DC

Provider Business Mailing Address
First Line	:	8604 GRIFFIN ROAD
Second Line	:
City	:	COOPER CITY
State	:	FL
Zip	:	33328
Country	:	US
Telephone Number	:	954-533-2614
Fax Number	:	954-533-2615

Provider Business Practice Location Address
First Line	:	8604 GRIFFIN RD
Second Line	:
City	:	COOPER CITY
State	:	FL
Zip	:	33328-3719
Country	:	US
Telephone Number	:	954-533-2614
Fax Number	:	954-533-2615

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

Provider Enumeration Date	:	11/09/2006
Last Update Date	:	07/29/2008

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