Provider Demographics
NPI:1871670299
Name:FITCHETT, JENNA J (DC)
Entity Type:Individual
Prefix:DR
First Name:JENNA
Middle Name:J
Last Name:FITCHETT
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:PO BOX 207
Mailing Address - Street 2:
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348-0207
Mailing Address - Country:US
Mailing Address - Phone:610-444-2878
Mailing Address - Fax:610-444-3953
Practice Address - Street 1:685 UNIONVILLE RD
Practice Address - Street 2:SUITE #1
Practice Address - City:KENNETT SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19348-1736
Practice Address - Country:US
Practice Address - Phone:610-444-2878
Practice Address - Fax:610-444-3953
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009692111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor