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Individual

DR. JOHN T JENNINGS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
711 MAIN ST, STEVENSVILLE, MD 21666
(410) 643-7100
(410) 643-9493
Mailing address
711 MAIN ST, STEVENSVILLE, MD 21666
(410) 643-7100
(410) 643-9493

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01284
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0586388
AETNA
MD
01
200321
UNITED HEALTH CARE
MD
01
219508
ALLIANCE
MD
01
350035280
RAIL ROAD MEDICARE
MD
01
42514402
CAREFIRST OF MD
MD
01
M380
BLUE CROSS OF MARYLAND
MD
01
T447-0001
BLUE CROSS OF DC
MD
Enumeration date
09/22/2006
Last updated
07/08/2021
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