Provider Demographics
NPI:1346400223
Name:GERMAN, JESSICA L (DC)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:L
Last Name:GERMAN
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 1:605 HANCOCK ST
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02170-1952
Mailing Address - Country:US
Mailing Address - Phone:617-328-6300
Mailing Address - Fax:617-328-7780
Practice Address - Street 1:605 HANCOCK ST
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02170-1952
Practice Address - Country:US
Practice Address - Phone:617-328-6300
Practice Address - Fax:617-328-7780
Is Sole Proprietor?:No
Enumeration Date:2008-06-13
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3157111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor