Provider Demographics
NPI:1427426584
Name:HATCH, JEANNE MARIE (DC)
Entity type:Individual
Prefix:DR
First Name:JEANNE MARIE
Middle Name:
Last Name:HATCH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 CHURCH ST NE
Mailing Address - Street 2:SUITE E
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22180-4708
Mailing Address - Country:US
Mailing Address - Phone:814-330-2597
Mailing Address - Fax:
Practice Address - Street 1:421 CHURCH ST NE
Practice Address - Street 2:SUITE E
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22180-4708
Practice Address - Country:US
Practice Address - Phone:703-689-0762
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-07
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556843111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor