Active NPI
Jerico, LLC
- Chiropractor
- Bluffton, SC
National Provider Identifier
1336446897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2601
- Legal business name
- JERICO, LLC
- Practice address
- 134 Oak Forest Rd
Bluffton, SC 29910-6148 - Phone
- (843) 304-0757
- NPI assigned
- Feb 18, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jerilyn Jean Vogelsang, D.C.
- Title
- Doctor/Owner
- Phone
- (843) 304-0757
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2601 | SC | Primary |
Addresses
Primary practice location
134 Oak Forest Rd
Bluffton, SC 29910-6148
Mailing address
134 Oak Forest Rd
Bluffton, SC 29910-6148
Phone (843) 304-0757
Other names 1
- AAA Healthcare / Align
National Provider Directory
National Provider DirectoryLocations
19 Moss Creek Vlg
Ste B1
Hilton Head Island, SC 29926
Phone (843) 837-9355
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Bluffton, SC
- NPI 1366498073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1492041600000",
"number": "1336446897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 OAK FOREST RD",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299106148",
"telephone_number": "843-304-0757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 OAK FOREST RD",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299106148",
"telephone_number": "843-304-0757"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JERICO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-18",
"last_updated": "2017-04-13",
"status": "A",
"authorized_official_last_name": "VOGELSANG",
"authorized_official_first_name": "JERILYN",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "DOCTOR/OWNER",
"authorized_official_telephone_number": "843-304-0757",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "SC",
"license": "2601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AAA Healthcare / Align",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bluffton, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.