JENNIFER M WELLS CHIROPRACTIC CORPORATION (NPI# 1699068734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699068734 |
| Entity Type | Organization |
| Organization Name | JENNIFER M WELLS CHIROPRACTIC CORPORATION |
| Other Organization Name | BACK COUNTRY CHIROPRACTIC |
| Practice Address |
911 6th St Norco CA 92860-1442 |
| Practice Telephone | 9094271820 |
| Practice Fax Number | 9514271822 |
| Mailing Telephone | 9094271820 |
| Mailing Fax Number | 9514271822 |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2011-05-23 |
| Authorized Official Name | DR. JENNIFER M WELLS (OWNER) |
| Authorized Official Telephone | 9514271820 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 24028 | CA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE ID- TYPE UNSPECIFIED | DC24028 | 01 |
| Other Name | Type Code |
|---|---|
| Back Country Chiropractic | Doing Business As Name - Organization |
| Street Address |
911 6TH ST |
| City | NORCO |
| State | CA |
| Zip Code | 92860-1442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669406922 | Jennifer Marie Wells | Chiropractor | 911 6th St, Norco, CA 92860-1442 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104466119 | Julie Chang | Pharmacist | 1101 Hidden Valley Parkway, Norco, CA 92860 | 2020-01-08 |
| 1629629241 | Abbey West Transportation LLC | Non-emergency Medical Transport (VAN) | 1791 Third St, Norco, CA 92860 | 2019-09-25 |
| 1457906745 | Corrections and Rehabilitation | Pharmacy | 5th and Western Ave, Module M, Room #104, Norco, CA 92860 | 2019-08-05 |
| 1942713417 | Pakravan Dental Corporation | Dentist | 2440 River Road, Suite 140, Norco, CA 92860 | 2017-11-07 |
| 1003202938 | Christina Cowell | Dental Assistant | 4033 Bluff St, Noroc, CA 92860 | 2015-04-07 |
| 1811301575 | Kenneth John Conlan | Counselor | 630 Winchester Dr., Norco, CA 92860 | 2014-06-19 |
| 1336489384 | Hyangsook Jung | Psychologist | 5th St. and Western Ave., Norco, CA 92860 | 2013-02-27 |
| 1386913275 | Shirley Nguyen | Pharmacist | 5th Street & Western Avenue, Norco, CA 92860 | 2011-12-21 |
| 1609168301 | Nicole Nadine Ortiz | Occupational Therapist | 2820 Clark Ave., Norco, CA 92860 | 2011-05-12 |
| 1861793739 | Peter A Petito | Psychologist | 5th and Western Ave., California Rehabilitation Center, Norco, CA 92860 | 2010-11-09 |
| Find all providers in zip 92860 | ||||
| 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 |
|---|---|---|---|---|
| 1639475874 | Phillip Lozano | Chiropractor | 1640 2nd St, Unit 208, Norco, CA 92860-2969 | 2011-02-06 |
| 1760676241 | Andrew Soohyong Cho | Chiropractor | 1260 Hamner Ave Ste E, Norco, CA 92860-3136 | 2007-08-28 |
| 1982811469 | Kevin John Hajduk | Chiropractor | 1680 Hamner Ave, #33, Norco, CA 92860-2932 | 2007-05-16 |
| 1174685366 | Jose G. Ponce | Chiropractor | 1675 Hamner Ave, Suite 2, Norco, CA 92860-2973 | 2006-12-14 |
| 1083633747 | Michael J. Stefano | Chiropractor | 1665 3rd St, Suite E, Norco, CA 92860-2669 | 2006-07-19 |
| 1669406922 | Jennifer Marie Wells | Chiropractor | 911 6th St, Norco, CA 92860-1442 | 2006-07-10 |
| 1689667867 | Kathleen J Kendra | Chiropractor | 1256 6th St, Norco, CA 92860-1447 | 2005-08-24 |
| 1497751473 | Michael Chun Wang | Chiropractor | 1260 Hamner Ave, Suite E, Norco, CA 92860-3136 | 2005-06-23 |
| 1740561927 | Hidden Valley Chiropractic | Chiropractor | 1675 Hamner Ave, 2, Norco, CA 92860-2973 | 2011-09-01 |
| 1457674517 | Hajduk Chiropractic, Inc. | Chiropractor | 1680 Hamner Ave, Suite 33, Norco, CA 92860-2932 | 2010-03-03 |
| Find all providers in NORCO | ||||
Please comment or provide details below to improve the information on JENNIFER M WELLS CHIROPRACTIC CORPORATION.
| 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.