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Individual

DR. JEFFREY MICHAEL JERNBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
4281 SERGEANT RD, SIOUX CITY, IA 51106-4625
(712) 274-6695
(712) 274-6699
Mailing address
4281 SERGEANT RD, SIOUX CITY, IA 51106-4625
(712) 274-6695
(712) 274-6699

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06265
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
020611
IA
01
09074
BLUE CROSS BLUE SHIELD
IA
Enumeration date
08/31/2005
Last updated
10/31/2011
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