Jennifer Acevedo, D.C.
Individual provider Active NPI Chiropractor · Dallas, GA
NPI 1790211571 · NPPES record last updated May 11, 2017
Key facts
- NPI
- 1790211571
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CHIRO09850 (GA)
- Practice address
- 83 Inspiration LN
Dallas, GA 30157-5008 - Phone
- (815) 272-0152
- NPI assigned
- May 11, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIRO09850 | GA | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIRO09850 | GA | Yes |
Addresses
Primary practice location
83 Inspiration LN
Dallas, GA 30157-5008
Mailing address
83 Inspiration LN
Dallas, GA 30157-5008
Phone (815) 272-0152
Other providers in Dallas, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.