Provider Demographics
NPI:1568646792
Name:BAJOHR, JESSICA MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:MARIE
Last Name:BAJOHR
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 1:544 CALLE ALDABARRAN
Mailing Address - Street 2:SUITE 200C
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00920-4257
Mailing Address - Country:US
Mailing Address - Phone:787-363-5860
Mailing Address - Fax:
Practice Address - Street 1:544 CALLE ALDABARRAN
Practice Address - Street 2:SUITE 200C
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00920-4257
Practice Address - Country:US
Practice Address - Phone:787-363-5860
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-24
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX011494111N00000X
PR447111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor