Jessica Raechelle Judge in Fort Worth - Chiropractor
Jessica Raechelle Judge - NPI 1619169448
Jessica Raechelle Judge is a Chiropractor in Fort Worth, Texas. Jessica Raechelle Judge practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jessica Raechelle Judge is 1619169448. The last update date is 2010-09-29.
Jessica Raechelle Judge's current location address is Po Box 77033, Fort Worth, Texas. You can contact this provider via phone number 9406481700. The mailing address for Jessica Raechelle Judge is Po Box 77033, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Raechelle Judge |
|---|---|
| Address | Po Box 77033, Fort Worth, Texas |
| Phone Number | 9406481700 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DC, BS |
NPI Number Detail
| NPI Number | 1619169448 |
|---|---|
| Provider Enumeration Date | 2007-08-15 |
| Last Updated Date | 2010-09-29 |
Provider Mailing Address Detail
| Address | Po Box 77033 |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761770033 |
| Phone Number | 9406481700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 10289 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 608411 | TX | BCBS |
Post Comment/ Review Below
What is the Jessica Raechelle Judge's unique identification number?
The Jessica Raechelle Judge has been assigned the NPI (National Provider Identifier) Number 1619169448 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Jessica Raechelle Judge is physically located?
The Jessica Raechelle Judge is situated at the following address: Po Box 77033, Fort Worth, TX 761770033.
What is Jessica Raechelle Judge's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jessica Raechelle Judge's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1619169448 to Jessica Raechelle Judge?
The Centers for Medicare & Medicaid Services assigned the 1619169448 to Jessica Raechelle Judge on 2007-08-15.
When was the Jessica Raechelle Judge's information last updated?
The Jessica Raechelle Judge's information was last updated on 2010-09-29.