Provider Demographics
NPI:1962454249
Name:ESPENSCHEID, JENIFER E (DC)
Entity type:Individual
Prefix:DR
First Name:JENIFER
Middle Name:E
Last Name:ESPENSCHEID
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 1:3576 ARLINGTON AVE STE 211
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-3986
Mailing Address - Country:US
Mailing Address - Phone:951-405-8868
Mailing Address - Fax:
Practice Address - Street 1:3576 ARLINGTON AVE STE 211
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-3986
Practice Address - Country:US
Practice Address - Phone:951-405-8868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35112111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI35246Medicare ID - Type Unspecified