Provider Demographics
NPI:1154216760
Name:TOWNSEND, JAMIE (DC)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:
Last Name:TOWNSEND
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 1:261 IMPERIAL HWY STE 570
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92835-1099
Mailing Address - Country:US
Mailing Address - Phone:909-257-7873
Mailing Address - Fax:
Practice Address - Street 1:261 IMPERIAL HWY STE 570
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92835-1099
Practice Address - Country:US
Practice Address - Phone:909-257-7873
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC37180111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor