Jennifer A Shell in Grosse Pte Wds - Chiropractor

Jennifer A Shell - NPI 1730292061

Jennifer A Shell is a Chiropractor in Grosse Pte Wds, Michigan. Jennifer A Shell practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jennifer A Shell is 1730292061. The last update date is 2008-05-15.

Jennifer A Shell's current location address is 20415 Mack Ave, Grosse Pte Wds, Michigan. You can contact this provider via phone number 3138817677 and fax number 3138810576. The mailing address for Jennifer A Shell is 20415 Mack Ave, Grosse Pte Wds, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer A Shell
Address 20415 Mack Ave, Grosse Pte Wds, Michigan
Phone Number 3138817677
Fax Number 3138810576
Sole Proprietor N
Credentials DC CHIROPR

NPI Number Detail

NPI Number 1730292061
Provider Enumeration Date 2006-08-17
Last Updated Date 2008-05-15

Provider Mailing Address Detail

Address 20415 Mack Ave
City Grosse Pte Wds
State Michigan (MI)
Post Code 48236
Phone Number 3138817677
Fax Number 3138810576

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No JS008373
Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
950H227070 MI BLUE CROSS

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FAQs about Jennifer A Shell

What is the unique 10-digit identification code assigned to Jennifer A Shell by the Centers for Medicare & Medicaid Services?

The Jennifer A Shell has been issued the NPI (National Provider Identifier) 1730292061, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Jennifer A Shell?

The Jennifer A Shell is situated at 20415 Mack Ave, in the city of Grosse Pte Wds, state of MI, with the zip code 48236.

What is Jennifer A Shell's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jennifer A Shell is Chiropractor, and the taxonomy code that categorizes this field of expertise is 111N00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1730292061 to Jennifer A Shell?

The Centers for Medicare & Medicaid Services assigned the 1730292061 to Jennifer A Shell on 2006-08-17.

As of what date were the details related to Jennifer A Shell most recently updated or revised?

The information pertaining to Jennifer A Shell, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-15.

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