Individual
DR. JENNIFER LEIGH POLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1503 N ELM ST, DENTON, TX 76201-3021
(940) 566-1660
(940) 380-1461
Mailing address
1503 N ELM ST, DENTON, TX 76201-3021
(940) 566-1660
(940) 380-1461
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9639
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11177018
CAQH
TX
01
—
606653
BCBS
TX
Enumeration date
11/01/2006
Last updated
10/02/2012
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