Provider Demographics
NPI:1386875557
Name:JARMAN CHIROPRACTIC STUDIO INC.
Entity type:Organization
Organization Name:JARMAN CHIROPRACTIC STUDIO INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROXANN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BETTENCOURT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:707-257-3600
Mailing Address - Street 1:4217 SOLANO AVE
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-1611
Mailing Address - Country:US
Mailing Address - Phone:707-257-3600
Mailing Address - Fax:707-257-3600
Practice Address - Street 1:4217 SOLANO AVE
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-1611
Practice Address - Country:US
Practice Address - Phone:707-257-3600
Practice Address - Fax:707-257-3600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-05
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21243111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty