Jennifer Lynn Bruck, D.C.

Individual provider Active NPI Chiropractor · Amherst, NH

NPI 1043576093 · NPPES record last updated May 10, 2016

Key facts

NPI
1043576093
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
2390496 (NH)
Practice address
1 Overlook Dr Ste 7
Amherst, NH 03031-2800
Phone
(603) 673-5600
Fax
(603) 673-4477
NPI assigned
Apr 4, 2012
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Overlook Dr
Suite 7
Amherst, NH 03031-2800
Phone (603) 673-5600

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NH

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20051116001060 NH Practitioner - Chiropractic 3173542370 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2390496NHMDChiropractor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2390496 NH Yes

Addresses

Primary practice location

1 Overlook Dr Ste 7
Amherst, NH 03031-2800

Mailing address

1 Overlook Dr Ste 7
Amherst, NH 03031-2800
Phone (603) 673-5600

Other names

  • Dr. Jennifer Bruck Cretsinger Former name

Other providers in Amherst, NH

All providers in Amherst, NH · Chiropractor in New Hampshire

Sources for this page

Verify at the official NPI Registry.