Organization
JENKINS CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON ROBERT JENKINS DC (MEMBER)
(203) 877-4198
Entity
Organization
Contact information
Practice address
97 GULF ST, MILFORD, CT 06460-4812
(203) 877-4198
(203) 877-6394
Mailing address
97 GULF ST, MILFORD, CT 06460-4812
(203) 877-4198
(203) 877-6394
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1371
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050001371CT02
ANTHEM BC/BS PROVIDER NUMBER
CT
01
—
1998049
UNITED HEALTH CARE PROVIDER NUMBER
CT
01
—
3191251
AETNA PROVIDER NUMBER
CT
01
—
U82466
UNIVERSAL PIN NUMBER
CT
Enumeration date
12/09/2008
Last updated
01/27/2009
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