Organization
DOUGLAS JENNINGS INC
Active
Other names
Douglas Jennings DC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS J JENNINGS DC CCSP (CHIROPRACTOR PRES OF DOUGLAS JENNIN)
(574) 722-2998
Entity
Organization
Contact information
Practice address
310 25TH ST, LOGANSPORT, IN 46947
(574) 722-2298
(574) 722-2298
Mailing address
310 25TH ST, LOGANSPORT, IN 46947
(574) 722-2298
(574) 722-2298
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001200
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000186483
BCBS
—
Enumeration date
09/01/2006
Last updated
08/22/2020
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