# JARRETT CHIROPRACTIC & REHAB PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205051521
- **Authorized official:** SCOTT DAVID JARRETT DC (PRESIDENT DOCTOR OF CHIROPRACTIC)
- **Authorized official phone:** (410) 578-1490

## Contact information

- **Practice address:** 4000 WEST NORTHERN PARKWAY, BALTIMORE, MD 21215
- **Practice address phone:** (410) 578-1490
- **Practice address fax:** (410) 578-1492
- **Mailing address:** 4000 WEST NORTHERN PARKWAY, BALTIMORE, MD 21215
- **Mailing address phone:** (410) 578-1490
- **Mailing address fax:** (410) 578-1492

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 501863 | MD | Yes |

## Other

- **Enumeration date:** 04/13/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1011186 | CIGNA | — |
| 01 | — | 230996 | KAISER PERMANENTE | — |
| 01 | — | 2729677 | AETNA | — |
| 01 | — | 5968698 | AETNA | — |
| 01 | — | F5860001 | BLUE CHOICE | — |
| 01 | — | KAQ3 | BLUE CROSS BLUE SHIELD | — |