Jay Dale Breitlow (NPI# 1750619771, PAC ID# 6709917917) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1750619771 |
| PAC ID by PECOS | 6709917917 |
| Professional Enrollment ID | I20101004000079 |
| Full Name | Jay Dale Breitlow |
| Address |
600 S Airport Rd C Longmont CO 80503-6424 |
| Gender | M |
| Medical School | PALMER COLLEGE CHIROPRACTIC - DAVENPORT |
| Graduation Year | 2008 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 600 S Airport Rd C, Longmont, CO 80503-6424 |
| Street Address |
600 S AIRPORT RD C |
| City | LONGMONT |
| State | CO |
| Zip | 80503-6424 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margaret A Daniels | Clinical Social Worker | 2919 17th Ave, Suite 221, Longmont, CO 80503-1657 | |
| William M Smith | Psychologist, Clinical | 2919 17th Ave, Suite 214, Longmont, CO 80503-1658 | |
| Sarah M Bair | Dermatology | 2350 17th Ave, Suite 100, Longmont, CO 80503-1738 | |
| Wendy Michelle Eickmann | Physical Therapy | Premere Rehab LLC | 1380 Charles Dr, Longmont, CO 80503-2354 |
| Amanda L Jensen | Occupational Therapy | Premere Rehab LLC | 1380 Charles Dr, Longmont, CO 80503-2354 |
| Hsienshu Wan | Physical Therapy | Premere Rehab LLC | 1380 Charles Dr, Longmont, CO 80503-2354 |
| Catherine Bonde | Occupational Therapy | Premere Rehab LLC | 1380 Charles Dr, Longmont, CO 80503-2354 |
| Timothy Palmer Rushold | Physical Therapy | Premere Rehab LLC | 1380 Charles Dr, Longmont, CO 80503-2354 |
| Michael G Curtiss | Physical Therapy | Premere Rehab LLC | 1380 Charles Dr, Longmont, CO 80503-2354 |
| James D Yakel | Podiatry | 1222 Lanyon Ln, Longmont, CO 80503-3641 | |
| Find all physicians in zip 80503 | |||
| City | LONGMONT |
| Zip Code | 80503 |
| Specialty | CHIROPRACTIC |
| City + Specialty | LONGMONT + 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.