Jennifer M Huddleston (NPI# 1376632570, PAC ID# 1153305842) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
Nation Provider ID (NPI) | 1376632570 |
PAC ID by PECOS | 1153305842 |
Professional Enrollment ID | I20040618000338 |
Full Name | Jennifer M Huddleston |
Organization Legal Name | FORT LORAMIE CHIROPRACTIC |
Address |
27 N Main St Fort Loramie OH 45845-9326 |
Phone Number | 9372952212 |
Gender | F |
Credential | DC |
Medical School | LIFE CHIROPRACTIC COLLEGE - WEST |
Graduation Year | 2003 |
Primary Specialty | CHIROPRACTIC |
Group Practice PAC ID | 0345224028 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
27 N Main St, Fort Loramie, OH 45845-9326 | 9372952212 | FORT LORAMIE CHIROPRACTIC |
Organization Legal Name | FORT LORAMIE CHIROPRACTIC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Charles R Huddleston | Chiropractic | Fort Loramie Chiropractic | 27 N Main St, Fort Loramie, OH 45845-9326 |
Street Address |
27 N MAIN ST |
City | FORT LORAMIE |
State | OH |
Zip | 45845-9326 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kimberly M Hudson | Optometry | Hudson Eye Center, LLC | 27 N Main St, Walton, KY 41094-1110 |
Charles R Huddleston | Chiropractic | Fort Loramie Chiropractic | 27 N Main St, Fort Loramie, OH 45845-9326 |
Ehren P Heyer | Physical Therapy | 27 N Main St, Homer, NY 13077-1314 | |
Steven Wayne Larson | Chiropractic | Sherburn Chiropractic | 27 N Main St, Sherburn, MN 56171-1052 |
Name | Specialty | Organization | Address |
---|---|---|---|
Dustin J Detrick | Chiropractic | Detrick Chiropractic LLC | 406 S Main St, Fort Loramie, OH 45845-8715 |
City | FORT LORAMIE |
Zip Code | 45845 |
Specialty | CHIROPRACTIC |
City + Specialty | FORT LORAMIE + CHIROPRACTIC |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.