Provider Demographics
NPI:1598051641
Name:JENKINS, JOSEPH E (DC)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:E
Last Name:JENKINS
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 1:2614 WHITEHORSE HAMILTON SQUARE ROAD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON SQUARE
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-2820
Mailing Address - Country:US
Mailing Address - Phone:609-587-8900
Mailing Address - Fax:609-587-1189
Practice Address - Street 1:2614 WHITEHORSE HAMILTON SQUARE RD
Practice Address - Street 2:
Practice Address - City:HAMILTON SQUARE
Practice Address - State:NJ
Practice Address - Zip Code:08690-2720
Practice Address - Country:US
Practice Address - Phone:609-587-8900
Practice Address - Fax:609-587-1189
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-27
Last Update Date:2011-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC0584100111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ38MC0584100OtherCHIROPRACTIC LICENSE