Individual
PHILLIP R JEANMENNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S., D.C.
Contact information
Practice address
1776 S QUEEN ST # 101-B, YORK, PA 17403-4628
(717) 848-5400
(717) 848-1071
Mailing address
1776 S QUEEN ST # 101-B, YORK, PA 17403-4628
(717) 848-5400
(717) 848-1071
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-005036-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014751980001
—
PA
Enumeration date
09/02/2005
Last updated
09/10/2015
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