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Individual
MR. BRIAN JEFFERSON JENKINS
Active
Individual
MR. BRIAN JEFFERSON JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1322
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000120416
ANTHEM PIN NUMBER
OH
05
—
0811518
—
OH
01
—
4400286
UNITED HEALTHCARE PROVIDE
OH
Enumeration date
01/18/2007
Last updated
02/11/2008
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