Provider Demographics
NPI:1598845240
Name:CHABOT, JEANNE ROSE (DC)
Entity Type:Individual
Prefix:DR
First Name:JEANNE
Middle Name:ROSE
Last Name:CHABOT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:JEANNE
Other - Middle Name:
Other - Last Name:CABRAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2116 ROCKY RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35216
Mailing Address - Country:US
Mailing Address - Phone:205-822-2177
Mailing Address - Fax:205-822-2183
Practice Address - Street 1:2116 ROCKY RIDGE RD
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35216
Practice Address - Country:US
Practice Address - Phone:205-822-2177
Practice Address - Fax:205-822-2183
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL849111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51070332OtherBCBS
AL51070332OtherBCBS