Jennifer Marshall, DC | |
989 Governors Ln Ste 280, Lexington, KY 40513-1175 | |
(859) 219-1011 | |
(859) 219-1119 |
Full Name | Jennifer Marshall |
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Gender | Female |
Speciality | Chiropractor |
Location | 989 Governors Ln Ste 280, Lexington, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588224653 | NPI | - | NPPES |
14028 | Other | TX | DC LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 14028 (Texas) | Secondary |
111N00000X | Chiropractor | 274051 (Kentucky) | Primary |
Provider Name | Chiro One Wellness Center Of Beaumont Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558514299 PECOS PAC ID: 2163584350 Enrollment ID: O20081223000083 |
Mailing Address | Practice Location Address |
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Jennifer Marshall, DC 989 Governors Ln Ste 280, Lexington, KY 40513-1175 Ph: (859) 219-1011 | Jennifer Marshall, DC 989 Governors Ln Ste 280, Lexington, KY 40513-1175 Ph: (859) 219-1011 |
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