Individual
DR. JARED STUBBLEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1689 CROWN AVE, SUITE 5, LANCASTER, PA 17601-6314
(717) 945-2192
(717) 650-2547
Mailing address
1689 CROWN AVE, SUITE 5, LANCASTER, PA 17601-6314
(717) 945-2192
(717) 650-2547
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC-31451
CA
111N00000X
Chiropractor
Primary
DC010295
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC-31451
STATE LICENSE
CA
01
—
DC010295
PENNSYLVANIA STATE CHIROPRACTIC BOARD
PA
Enumeration date
11/12/2009
Last updated
12/06/2013
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