DR. DOUGLAS J JENNINGS (NPI# 1417010836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417010836 |
Entity Type | Individual |
Full Name | DR. DOUGLAS J JENNINGS |
Credential | DC |
Practice Address |
310 25th St Logansport IN 46947 |
Practice Telephone | 5747222298 |
Practice Fax Number | 5747222298 |
Mailing Telephone | 5747222298 |
Mailing Fax Number | 5747222298 |
Enumeration Date | 2006-12-18 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 08001200 | IN | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BCBS | 000000186483 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649278037 | Douglas L. Jennings | Anesthesiology | 990 Sylvan Way, Bremerton, WA 98310-2851 | 2005-07-11 |
Street Address |
310 25TH ST |
City | LOGANSPORT |
State | IN |
Zip Code | 46947 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477655678 | Douglas Jennings Inc | Chiropractor | 310 25th St, Logansport, IN 46947 | 2006-09-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578199345 | Stephanie Anne Dill | Family Medicine | 1101 Michigan Address, Logansport, IN 46947 | 2020-03-12 |
1023564259 | Wecare Tlc - Lcsc Health and Wellness | Clinic/Center | 2500 Hopper Street, Door C-13, Logansport, IN 46947 | 2016-08-28 |
1801266283 | Cheryl Lynn Ulery | Occupational Therapy Assistant | 5105 Northcrest Drive, Logansport, IN 46947 | 2015-09-29 |
1346618691 | Jan Hoover | Nurse Practitioner | 1025 Michigan Ave Ste 125, Logansport, IN 46947 | 2015-09-03 |
1922431741 | Ourhealth Physician Group, LLC | Clinic/Center | 99 E. Dewey St., Logansport, IN 46947 | 2013-08-15 |
1215245816 | Wal-mart Stores East Lp | Technician/Technologist | 240 Mall Road, Logansport, IN 46947 | 2010-09-16 |
1770778359 | Assisted Living Concepts Inc | Assisted Living Facility | 3901 High Street Road, Logansport, IN 46947 | 2007-09-07 |
1417152943 | Mary A Deinnocentes | Audiologist | 1325 N. 200 E., Logansport, IN 46947 | 2007-06-15 |
1396965018 | Elizabeth Dockerty Smith | Dentist | 335 Mall Road, Logansport, IN 46947 | 2007-04-26 |
1659599686 | Donna Beck Hermance | Physical Therapist | Northcentral Indiana Sports Center, 1603 Chase Road, Logansport, IN 46947 | 2007-04-23 |
Find all providers in zip 46947 |
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 |
---|---|---|---|---|
1699944702 | Health 1st of Logansport, PC | Chiropractor | 3308 E Market St, Logansport, IN 46947-2296 | 2008-02-22 |
1245370766 | Eric Elmer Meister | Chiropractor | 1828 E Broadway, Logansport, IN 46947 | 2007-02-07 |
1124181250 | Ronald C. Brown | Chiropractor | 4415 E Market St, Logansport, IN 46947-2356 | 2006-12-19 |
1477655678 | Douglas Jennings Inc | Chiropractor | 310 25th St, Logansport, IN 46947 | 2006-09-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235737552 | Molly Vyzral | Chiropractor | 8770 Guion Rd Ste L, Indianapolis, IN 46268-3017 | 2020-10-09 |
1023624491 | Nicholas Shelby | Chiropractor | 4335 W 106th St Ste 1000, Carmel, IN 46032-7744 | 2020-09-21 |
1699381525 | Excellence Chiropractic & Wellness | Chiropractor | 10298 E 96th St, Fishers, IN 46037-9497 | 2020-09-16 |
1871104794 | Legacy Family Chiropractic LLC | Chiropractor | 550 W 300 N, Warsaw, IN 46582-6940 | 2020-08-13 |
1134746795 | Synergy Health & Wellness LLC | Chiropractor | 5000 E Virginia St Ste 4, Evansville, IN 47715-2672 | 2020-06-30 |
1235754797 | Michael Mackenzie Gearheart | Chiropractor | 13991 Avalon East Dr, Fishers, IN 46037-6211 | 2020-06-10 |
1629690417 | Wellness Chiropractic Center, P.s.c. | Chiropractor | 1255 N Gardner St, Scottsburg, IN 47170-1495 | 2020-05-14 |
1912529082 | Traci Gross | Chiropractor | 1460 W 86th St, Indianapolis, IN 46260-2181 | 2020-05-12 |
1982224473 | Chiro One Wellness Center of Fishers LLC | Chiropractor | 11670 Commercial Dr Ste 300, Fishers, IN 46038-2925 | 2020-04-24 |
1407480239 | Thomas A Brady Sports Medicine Ctr | Chiropractor | 16289 Boden Rd Ste 2, Noblesville, IN 46060-9748 | 2020-03-02 |
Find all providers with the same taxonomy |
City | LOGANSPORT |
Zip Code | 46947 |
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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.