Jennifer Elizabeth Gonzalez, D.C.

Individual provider Active NPI Chiropractor · Mansfield, PA

NPI 1790962090 · NPPES record last updated Nov 19, 2019

Key facts

NPI
1790962090
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
DC009907 (PA)
Practice address
40 W Wellsboro St
Mansfield, PA 16933-1411
Phone
(570) 662-1974
NPI assigned
Jan 29, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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 participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
DC009907PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rhine Chiropractic Center PC Chiropractor Past Accepting new patients
Rhine Chiropractic Center Chiropractor Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gonzalezje@upmc.edu

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009907 PA Yes

Addresses

Primary practice location

40 W Wellsboro St
Mansfield, PA 16933-1411

Mailing address

40 W Wellsboro St
Mansfield, PA 16933-1411
Phone (570) 662-1974

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address Gonzalezje@upmc.edu Direct

Other providers in Mansfield, PA

All providers in Mansfield, PA · Chiropractor in Pennsylvania

Sources for this page

Verify at the official NPI Registry.