Provider Demographics
NPI:1891072203
Name:NASHMAN, JERRY D (DC)
Entity Type:Individual
Prefix:DR
First Name:JERRY
Middle Name:D
Last Name:NASHMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:9431 COPPERTOP LOOP NE
Mailing Address - Street 2:UNIT 204
Mailing Address - City:BAINBRIDGE ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98110-3684
Mailing Address - Country:US
Mailing Address - Phone:206-842-6655
Mailing Address - Fax:206-842-6677
Practice Address - Street 1:186 FABIAN DR
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29803-2553
Practice Address - Country:US
Practice Address - Phone:803-649-4747
Practice Address - Fax:803-649-9719
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-14
Last Update Date:2017-10-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD01570111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor