Individual provider · Type 1 NPI
Jo Ann Jedryk, DC
Chiropractor · Tabernacle, NJ
NPI number
1104959402
Active
Practice location
1531 Route 206
Tabernacle, NJ 08088-8852
Fax (609) 268-3736
Mailing address
PO Box 2594
Vincentown, NJ 08088-2594
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 38MC00302300 (NJ) |
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.
About NPI 1104959402
Jo Ann Jedryk, DC's National Provider Identifier is 1104959402, issued on Mar 14, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Tabernacle, NJ. The record was last updated on Jan 2, 2008.