Provider Demographics
NPI:1316595275
Name:DUGAN, JESSE CHRISTOPHER (DC)
Entity Type:Individual
Prefix:DR
First Name:JESSE
Middle Name:CHRISTOPHER
Last Name:DUGAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5930 HAMILTON BLVD STE 1A
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18106-9654
Mailing Address - Country:US
Mailing Address - Phone:484-354-1383
Mailing Address - Fax:267-573-3324
Practice Address - Street 1:5930 HAMILTON BLVD STE 1A
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18106-9654
Practice Address - Country:US
Practice Address - Phone:484-354-1383
Practice Address - Fax:267-573-3324
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-03
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC011506111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor