Individual provider · Type 1 NPI
Jerome Earl Fonke, DC
Chiropractor · Fayetteville, NC
NPI number
1720084338
Active
Practice location
305 Owen Dr
Fayetteville, NC 28304-3410
Fax (910) 484-2523
Mailing address
205 Owen Dr
Fayetteville, NC 28304-3409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 1875 (NC) |
| Chiropractor | 111N00000X | CHIR004818 (GA) |
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.
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About NPI 1720084338
Jerome Earl Fonke, DC's National Provider Identifier is 1720084338, issued on Jun 28, 2005. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Fayetteville, NC. The record was last updated on Jan 18, 2017.