Provider Demographics
NPI:1104838580
Name:JARGER, JAYNE SUE (DC)
Entity Type:Individual
Prefix:DR
First Name:JAYNE
Middle Name:SUE
Last Name:JARGER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MISS
Other - First Name:JAYNE
Other - Middle Name:SUE
Other - Last Name:SIPINICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:164 GROTON RD
Mailing Address - Street 2:
Mailing Address - City:WESTFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01886-1377
Mailing Address - Country:US
Mailing Address - Phone:978-329-9020
Mailing Address - Fax:978-692-0675
Practice Address - Street 1:164 GROTON RD
Practice Address - Street 2:
Practice Address - City:WESTFORD
Practice Address - State:MA
Practice Address - Zip Code:01886-1377
Practice Address - Country:US
Practice Address - Phone:978-329-9020
Practice Address - Fax:978-692-0675
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1653111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY36194Medicare ID - Type Unspecified