Jeremy Todd Jernigan in Gulfport - Chiropractor
Jeremy Todd Jernigan - NPI 1194864165
Jeremy Todd Jernigan is a Chiropractor in Gulfport, Mississippi. Jeremy Todd Jernigan practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jeremy Todd Jernigan is 1194864165. The last update date is 2023-03-15.
Jeremy Todd Jernigan's current location address is 2045 E Pass Rd Ste B, Gulfport, Mississippi. You can contact this provider via phone number 2288967574 and fax number 2288967579. The mailing address for Jeremy Todd Jernigan is 2045 E Pass Rd Ste B, Gulfport, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeremy Todd Jernigan |
|---|---|
| Address | 2045 E Pass Rd Ste B, Gulfport, Mississippi |
| Phone Number | 2288967574 |
| Fax Number | 2288967579 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1194864165 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2023-03-15 |
Provider Mailing Address Detail
| Address | 2045 E Pass Rd Ste B |
|---|---|
| City | Gulfport |
| State | Mississippi (MS) |
| Post Code | 395073761 |
| Phone Number | 2288967574 |
| Fax Number | 2288967579 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 1065 |
|
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 |
|---|---|---|---|
| 342005143 | MS | TAX IDENTIFICATION NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jeremy Todd Jernigan by the Centers for Medicare & Medicaid Services?
The Jeremy Todd Jernigan has been assigned the NPI (National Provider Identifier) 1194864165 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Jeremy Todd Jernigan located?
The Jeremy Todd Jernigan is located at 2045 E Pass Rd Ste B, Gulfport, MS 395073761.
What is Jeremy Todd Jernigan's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jeremy Todd Jernigan is Chiropractor, and the corresponding taxonomy classification code for this specialized field is 111N00000X.
On what date did Jeremy Todd Jernigan receive its 1194864165 assignment from the Centers for Medicare & Medicaid Services?
The Jeremy Todd Jernigan was assigned its 1194864165 on 2007-02-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Jeremy Todd Jernigan's information last updated?
The Jeremy Todd Jernigan's information was last updated on 2023-03-15.
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