Provider Demographics
NPI:1003273764
Name:KATZER, JENNIFER LYNN (DC)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:LYNN
Last Name:KATZER
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 1:7986 S ORILLA RD
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:IA
Mailing Address - Zip Code:50061-5807
Mailing Address - Country:US
Mailing Address - Phone:515-528-2287
Mailing Address - Fax:515-608-4397
Practice Address - Street 1:7986 S ORILLA RD
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:IA
Practice Address - Zip Code:50061-5807
Practice Address - Country:US
Practice Address - Phone:515-528-2287
Practice Address - Fax:515-608-4397
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-25
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA080507111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor