Jessica Carleen Funicello in Forest - Chiropractor

Jessica Carleen Funicello - NPI 1114068525

Jessica Carleen Funicello is a Chiropractor in Forest, Virginia. Jessica Carleen Funicello practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jessica Carleen Funicello is 1114068525. The last update date is 2007-08-09.

Jessica Carleen Funicello's current location address is 306 Enterprise Dr Ste B, Forest, Virginia. You can contact this provider via phone number 4343856333. The mailing address for Jessica Carleen Funicello is 306 Enterprise Dr Ste B, Forest, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Jessica Carleen Funicello
Address 306 Enterprise Dr Ste B, Forest, Virginia
Phone Number 4343856333
Fax Number
Sole Proprietor N
Credentials DC

NPI Number Detail

NPI Number 1114068525
Provider Enumeration Date 2007-02-09
Last Updated Date 2007-08-09

Provider Mailing Address Detail

Address 306 Enterprise Dr Ste B
City Forest
State Virginia (VA)
Post Code 245512644
Phone Number 4343856333
Fax Number

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 7487
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

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FAQs about Jessica Carleen Funicello

What is the unique 10-digit identification code assigned to Jessica Carleen Funicello by the Centers for Medicare & Medicaid Services?

The Jessica Carleen Funicello has been issued the NPI (National Provider Identifier) 1114068525, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Jessica Carleen Funicello?

The Jessica Carleen Funicello is physically situated at 306 Enterprise Dr Ste B, in the city of Forest, state of VA, with the postal code 245512644.

What is Jessica Carleen Funicello's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jessica Carleen Funicello is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1114068525 to Jessica Carleen Funicello?

The Centers for Medicare & Medicaid Services assigned the 1114068525 to Jessica Carleen Funicello on 2007-02-09.

As of what date was the information pertaining to Jessica Carleen Funicello, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jessica Carleen Funicello, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-08-09.

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