Organization
DE JESUS WELLNESS GROUP, P.C
Active
Other names
De Jesus Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROWENA M DE JESUS D.C. (OWNER/PRESIDENT)
(570) 708-2228
Entity
Organization
Contact information
Practice address
298 ROCK GLEN RD, SUGARLOAF, PA 18249-3211
(570) 708-2228
(570) 708-2039
Mailing address
298 ROCK GLEN RD, SUGARLOAF, PA 18249-3211
(570) 708-2228
(570) 708-2039
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC004270L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50087
MEDICARE TIN
PA
01
—
583383
MEDICARE PTAN
PA
Enumeration date
08/14/2013
Last updated
04/23/2026
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