Provider Demographics
NPI:1629186184
Name:FOLKERS, JACEY THOMAS (DC)
Entity Type:Individual
Prefix:DR
First Name:JACEY
Middle Name:THOMAS
Last Name:FOLKERS
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 1:26247 JAYLENE ST
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-4937
Mailing Address - Country:US
Mailing Address - Phone:951-378-8100
Mailing Address - Fax:951-296-0883
Practice Address - Street 1:27314 JEFFERSON AVE
Practice Address - Street 2:SUITE 8
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-5602
Practice Address - Country:US
Practice Address - Phone:951-296-0188
Practice Address - Fax:951-296-0883
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-26
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC29051111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor