JENNIFER B WALDER (NPI# 1255586160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255586160 |
| Entity Type | Individual |
| Full Name | JENNIFER B WALDER |
| Credential | DC |
| Practice Address |
240 Beiser Blvd Suite 202a Dover DE 19904-8208 |
| Practice Telephone | 3027340300 |
| Practice Fax Number | 3027349300 |
| Mailing Telephone | 3027340300 |
| Mailing Fax Number | 3027349300 |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2008-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | F1-0000706 | DE | Chiropractic Providers |
| Street Address |
240 BEISER BLVD SUITE 202A |
| City | DOVER |
| State | DE |
| Zip Code | 19904-8208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073594693 | Ganesh R Balu | Physical Medicine & Rehabilitation | 240 Beiser Blvd, Suite 201, Dover, DE 19904-8208 | 2005-11-10 |
| 1568914273 | Doosan Park | Specialist/Technologist | 240 Beiser Blvd, Suite 202, Dover, DE 19904-8208 | 2016-10-28 |
| 1467806711 | Regional Medical Associates | Chiropractor | 240 Beiser Blvd, Suite 201, Dover, DE 19904-8208 | 2016-04-22 |
| 1063854628 | Outpatient Procedure Centers, LLC | Clinic/Center | 240 Beiser Blvd, Suite #201 G, Dover, DE 19904-8208 | 2013-07-24 |
| 1104127851 | Physician Dispensing Solutions, Inc | Non-Pharmacy Dispensing Site | 240 Beiser Blvd, Suite 201f, Dover, DE 19904-8208 | 2010-11-11 |
| 1861628448 | Anesthesia Providers LLC | Anesthesiology | 240 Beiser Blvd, Suite 201e, Dover, DE 19904-8208 | 2009-06-09 |
| 1396990305 | Comprehensive Spine Care, LLC | Physical Medicine & Rehabilitation | 240 Beiser Blvd, Suite 202a, Dover, DE 19904-8208 | 2008-11-19 |
| 1396899472 | First State Imaging | Radiology | 240 Beiser Blvd, Suite 201c, Dover, DE 19904-7790 | 2007-01-23 |
| 1619020385 | Professional Anesthesia Services, LLC | Anesthesiology | 240 Beiser Blvd, Suite 201, Dover, DE 19904-8208 | 2007-01-18 |
| 1467505198 | Yuri Marchuk | Physical Medicine & Rehabilitation | 240 Beiser Blvd, #201 A, Dover, DE 19904-7790 | 2007-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534318 | Stanford Community Development Corporation, Inc | Community Health Worker | 111 South West Street, Suite 5, Dover, DE 19904 | 2020-10-02 |
| 1770145120 | Cara May O'reilly | Nurse Practitioner | 540 S. Governors Ave, Ste 101a, Dover, DE 19904 | 2019-07-07 |
| 1639631716 | Victoria Louise Sisson | Physical Therapy Assistant | 301 South Banning Street, Dover, DE 19904 | 2019-04-05 |
| 1336603091 | Ashley Santana | Counselor | 32 West Lookerman Street, Suite #103, Dover, DE 19904 | 2019-01-28 |
| 1679059869 | Vicdania Home Services | Technician | 1019 South Govenors Avenue, Dover, DE 19904 | 2018-07-11 |
| 1295221372 | Pam Squared At Dover LLC | Rehabilitation Hospital | 1240 Mckee Road, Dover, DE 19904 | 2018-07-02 |
| 1871000869 | Ronald Allen Beard | Counselor | 44 Carver Road, Dover, DE 19904 | 2017-12-29 |
| 1508376518 | First State Orthopaedics, Pa | Orthopaedic Surgery | 285 Beiser Blvd, Ste 201, Dover, DE 19904 | 2017-10-04 |
| 1700325057 | Center At Eden Hill LLC | Skilled Nursing Facility | 300 Banning Street, Dover, DE 19904 | 2017-02-20 |
| 1811352826 | West Dover Dental, LLC | Dentist | 2 Greentree Drive, Dover, DE 19904 | 2015-12-17 |
| Find all providers in zip 19904 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700367653 | George Jumpp | Chiropractor | 43 Main St Apt 1, Dover, NH 03820-6801 | 2018-08-28 |
| 1427579689 | Thrive Family Chiropractic Pllc | Chiropractor | 383 Central Ave Ste 264, Dover, NH 03820-6420 | 2017-06-28 |
| 1821449893 | Greater Health Associates LLC | Chiropractor | 737 S Governors Ave, Dover, DE 19904-4105 | 2016-06-30 |
| 1538516786 | Cheri Zatko-coseglia | Chiropractor | 212 S Queen St, Dover, DE 19904-3550 | 2016-05-18 |
| 1497119184 | Premier Spine & Rehab, LLC | Chiropractor | 111 S West St, Suite 5, Dover, DE 19904-3219 | 2016-04-08 |
| 1326440058 | Robert Anthony Distefano | Chiropractor | 222 S. Dupont Highway, Unit 203, Dover, DE 19901-3797 | 2014-09-25 |
| 1194064162 | Maxene Canton | Chiropractor | 911 S Dupont Hwy Unit 2, Dover, DE 19901-4468 | 2013-02-11 |
| 1609133388 | James W Paup | Chiropractor | 6400 Davidsburg Rd, Dover, PA 17315-3271 | 2012-04-18 |
| 1225277437 | Mimi Renee Skocik | Chiropractor | 1111a S Governors Ave, Dover, DE 19904-6903 | 2009-02-11 |
| 1740466366 | William Reddy | Chiropractor | 627 Central Avenue, Dover, NH 03820-3401 | 2008-01-14 |
| Find all providers in DOVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.