MR. JEFFREY PAUL MARTIN (NPI# 1629166343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629166343 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY PAUL MARTIN |
| Credential | DC |
| Practice Address |
516 South Pleasant Street Princeton IL 61356-1953 |
| Practice Telephone | 8158753661 |
| Practice Fax Number | 8158751925 |
| Mailing Telephone | 8158753661 |
| Mailing Fax Number | 8158751925 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2011-11-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038004206 | IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 615601 | 05 | |
| IL | BLUE CROSS BLUE SHIELD | 615601 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164085296 | Jeffrey Martin | Specialist | 8876 Vintage Park Dr # 1158876, Sacramento, CA 95828-5893 | 2019-04-15 |
| 1508281064 | Jeffrey Steven Martin | Psychologist | 300 Palmer Ln, Charlotte, VT 05445-4410 | 2014-02-20 |
| 1467887588 | Jeffrey G Martin | Licensed Practical Nurse | 55 Caroline St, Albion, NY 14411-1020 | 2013-09-09 |
| 1285072074 | Jeffrey Eugene Martin | Physical Therapist | 10415 Lackman Rd, Lenexa, KS 66219-1221 | 2013-06-13 |
| 1720303571 | Jeffrey B Martin | Dentist | 825 Twelve Bridges Dr, Suite 55, Lincoln, CA 95648-8813 | 2010-04-05 |
| 1871725812 | Jeffrey Martin | Dentist | 1960 25th Ave Ste 101, Vero Beach, FL 32960-3015 | 2009-08-10 |
| 1740303445 | Jeffrey Todd Martin | Dentist | 2700 Coltsgate Rd., Ste. #100, Charlotte, NC 28211-3799 | 2007-04-09 |
| 1518081058 | Jeffrey Fred Martin | Optometrist | 2644 E Broadway Blvd, Tucson, AZ 85716-5306 | 2007-03-19 |
| 1407988645 | Jeffrey Ulmer Martin | Dentist | 6 N Lexington Ave, Havertown, PA 19083-5002 | 2007-03-12 |
| 1952446080 | Jeffrey Dean Martin | Family Medicine | North Carolina Disability Determination Services, 3301 Terminal Dr, Raleigh, NC 27602-0243 | 2007-02-20 |
| Street Address |
516 SOUTH PLEASANT STREET |
| City | PRINCETON |
| State | IL |
| Zip Code | 61356-1953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548698558 | Shelley Gorenz | Counselor | 1009 S. Main St., Princeton, IL 61356 | 2013-10-30 |
| 1780016626 | Jennifer Phillips | Pharmacist | 610 N. Main St., Princeton, IL 61356 | 2013-08-02 |
| 1477848521 | Princeton Prompt Care LLC | Clinic/Center | 2128 North Main Street, Princeton, IL 61356 | 2011-06-16 |
| 1306014196 | Lifefit Physical Rehab, Ltd. | Clinic/Center | 1225 N. Sixth St., Princeton, IL 61356 | 2008-02-14 |
| 1568669778 | Hawthorne Inn Supportive Living Facility | Assisted Living Facility | 136 N. Sixth St., Princeton, IL 61356 | 2007-06-29 |
| 1720209240 | Michelle Lee Mortensen | Music Therapist | 816 S. First St., Princeton, IL 61356 | 2007-05-01 |
| 1073733465 | Jarred Allen Farrell | Chiropractor | 682 East Peru Street, Princeton, IL 61356 | 2007-04-26 |
| 1952488397 | Donald R Marion | Optometrist | 2 Park Avenue West, Princeton, IL 61356 | 2006-11-01 |
| 1427138247 | Bruce Waldo Shriver | Dentist | 422 E Peru St, Princeton, IL 61356 | 2006-10-16 |
| 1871689612 | Jason A Monroe | Dentist | 334 Backbone Rd East, Princeton, IL 61356 | 2006-10-05 |
| Find all providers in zip 61356 | ||||
| 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 |
|---|---|---|---|---|
| 1225373103 | Princeton Family Chiropractic | Chiropractor | 66 Mount Lucas Rd, Suite E2, Princeton, NJ 08540-2733 | 2012-12-04 |
| 1932488178 | Kelli Mann | Chiropractor | 902 Stafford Dr., Princeton, WV 24740 | 2011-08-05 |
| 1083929582 | Princeton Natural Health Care Associates | Chiropractor | 204 N Harrison St Fl 1, Princeton, NJ 08540-3507 | 2010-08-10 |
| 1871755694 | Lonnie L Edwards | Chiropractor | 1288n State Rd 65, Princeton, IN 47670-9515 | 2008-07-02 |
| 1346415312 | David Carl Maffei | Chiropractor | 3640 Lawrenceville Road, Princeton, NJ 08540 | 2008-04-29 |
| 1124203443 | Paul Family Chiropractic, PC | Chiropractor | 1 Airport Pl, Suite # 4, Princeton, NJ 08540-1532 | 2008-01-05 |
| 1740461490 | Back2health-princeton, LLC | Chiropractor | 107 N 1st Ave, Princeton, IN 47670-1061 | 2007-11-23 |
| 1851505010 | Lounsbury Chiropractic Office Inc | Chiropractor | 1307 Mercer St, Princeton, WV 24740 | 2007-05-09 |
| 1073733465 | Jarred Allen Farrell | Chiropractor | 682 East Peru Street, Princeton, IL 61356 | 2007-04-26 |
| 1871615278 | Joseph Marc Paul | Chiropractor | 1 Airport Pl Ste 4, Princeton, NJ 08540-1532 | 2007-04-04 |
| Find all providers in PRINCETON | ||||
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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.