Provider Demographics
NPI:1801033352
Name:JASINSKI, TRILBY L (DC)
Entity Type:Individual
Prefix:DR
First Name:TRILBY
Middle Name:L
Last Name:JASINSKI
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 1:43229 DOVERWOOD CT
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93536-5423
Mailing Address - Country:US
Mailing Address - Phone:909-800-5811
Mailing Address - Fax:661-943-5338
Practice Address - Street 1:546 PINE KNOT AVE.
Practice Address - Street 2:SUITE A
Practice Address - City:BIG BEAR LAKE
Practice Address - State:CA
Practice Address - Zip Code:92315
Practice Address - Country:US
Practice Address - Phone:909-800-5811
Practice Address - Fax:661-943-5338
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-20
Last Update Date:2009-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27093111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition