Provider Demographics
NPI:1801027503
Name:TREMBLAY, JEREMY WALTER (DC)
Entity Type:Individual
Prefix:
First Name:JEREMY
Middle Name:WALTER
Last Name:TREMBLAY
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 1:206 MERRIMON AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-1230
Mailing Address - Country:US
Mailing Address - Phone:828-252-7400
Mailing Address - Fax:828-252-7370
Practice Address - Street 1:206 MERRIMON AVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-1230
Practice Address - Country:US
Practice Address - Phone:828-252-7400
Practice Address - Fax:828-252-7370
Is Sole Proprietor?:No
Enumeration Date:2009-07-30
Last Update Date:2009-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3969111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor