Provider Demographics
NPI:1346601689
Name:SEGAL, JONATHAN (DC)
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:
Last Name:SEGAL
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14560 S MILITARY TRL STE B4
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-3794
Mailing Address - Country:US
Mailing Address - Phone:561-926-9494
Mailing Address - Fax:
Practice Address - Street 1:14560 S MILITARY TRL STE B4
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-3794
Practice Address - Country:US
Practice Address - Phone:561-926-9494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-15
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH11622111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor