Provider Demographics
NPI:1619010675
Name:WEBB, JENNIFER PATRICIA (DC)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:PATRICIA
Last Name:WEBB
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 1:6216 MAIN AVE
Mailing Address - Street 2:SUITE C1
Mailing Address - City:ORANGEVALE
Mailing Address - State:CA
Mailing Address - Zip Code:95662-4339
Mailing Address - Country:US
Mailing Address - Phone:916-988-3441
Mailing Address - Fax:916-988-6446
Practice Address - Street 1:6216 MAIN AVE
Practice Address - Street 2:SUITE C1
Practice Address - City:ORANGEVALE
Practice Address - State:CA
Practice Address - Zip Code:95662-4339
Practice Address - Country:US
Practice Address - Phone:916-988-3441
Practice Address - Fax:916-988-6446
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC26324111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor