Provider Demographics
NPI:1205867033
Name:BERRINGER, JAMIE LEE (DC)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:LEE
Last Name:BERRINGER
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 1:6365 SHIER RINGS RD
Mailing Address - Street 2:STE A
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-6266
Mailing Address - Country:US
Mailing Address - Phone:614-282-4030
Mailing Address - Fax:
Practice Address - Street 1:7010 HOSPITAL DRIVE
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016
Practice Address - Country:US
Practice Address - Phone:614-764-4001
Practice Address - Fax:614-764-4002
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2019-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009068111N00000X
OH3679111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA075734Medicare ID - Type Unspecified