Provider Demographics
NPI:1174681704
Name:DEPALMA, JENNIFER LORI (DC)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:LORI
Last Name:DEPALMA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:JENNIFER
Other - Middle Name:LORI
Other - Last Name:REINKING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:2275 HIGHWAY 33
Mailing Address - Street 2:SUITE 304
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-1748
Mailing Address - Country:US
Mailing Address - Phone:609-587-9900
Mailing Address - Fax:
Practice Address - Street 1:2275 HIGHWAY 33
Practice Address - Street 2:SUITE 304
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08690-1748
Practice Address - Country:US
Practice Address - Phone:609-587-9900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2008-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00646200111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor