Jinnifer Melissa Stephan, DC | |
330a S Lawrence Blvd, Keystone Heights, FL 32656-9219 | |
(352) 473-9777 | |
Not Available |
Full Name | Jinnifer Melissa Stephan |
---|---|
Gender | Female |
Speciality | Chiropractic |
Experience | 18 Years |
Location | 330a S Lawrence Blvd, Keystone Heights, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053335448 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 009654 (Pennsylvania) | Secondary |
111N00000X | Chiropractor | 9215 (Florida) | Primary |
Provider Name | Keystone Chiropractic Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1720228539 PECOS PAC ID: 9335327840 Enrollment ID: O20110706000152 |
Mailing Address | Practice Location Address |
---|---|
Jinnifer Melissa Stephan, DC 330a S Lawrence Blvd, Keystone Heights, FL 32656-9219 Ph: (352) 473-9777 | Jinnifer Melissa Stephan, DC 330a S Lawrence Blvd, Keystone Heights, FL 32656-9219 Ph: (352) 473-9777 |
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