Jay Chiropractic Center
Preferred Provider Organization in Milton, FL. Organization (NPI-2).
NPI number1396017331
StatusActive
Last updated in NPPESFeb 7, 2012
Details
- NPI
- 1396017331
- Entity type
- Organization (NPI-2)
- Legal business name
- Jay Chiropractic Center
- Organization subpart
- No
- Enumeration date
- Feb 7, 2012
- Last updated
- Feb 7, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 305R00000X | Preferred Provider Organization | ch0009285 | FL | Yes |
Practice location
5035 Saints LnMilton, FL 32570-4046
Phone 850-748-0740 · Fax 850-675-6886
Mailing address
3927 Highway 4Jay, FL 32565-1752
Phone 850-675-6886 · Fax 850-675-6886
Authorized official
Bernard Joseph Keenum
Owner/Chiropractic Physician
8506756886
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