Organization
CHIROPRACTIC EXPRESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH LYNN JANSEN (PRESIDENT)
(239) 458-8800
Entity
Organization
Contact information
Practice address
1526 SE 16TH PL STE B, #B, CAPE CORAL, FL 33990-3831
(239) 458-8800
(239) 458-5291
Mailing address
1526 SE 16TH PL STE B, #B, CAPE CORAL, FL 33990-3831
(239) 458-8800
(239) 458-5291
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH7784
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70097
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/27/2005
Last updated
05/07/2008
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