Provider Demographics
NPI:1972823201
Name:DECUYPERE, JEANNE D (DC)
Entity Type:Individual
Prefix:DR
First Name:JEANNE
Middle Name:D
Last Name:DECUYPERE
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 1:1250 ROGERS STREET
Mailing Address - Street 2:SUITE A
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33456
Mailing Address - Country:US
Mailing Address - Phone:727-449-8080
Mailing Address - Fax:727-442-8050
Practice Address - Street 1:1250 ROGERS STREET
Practice Address - Street 2:SUITE A
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756
Practice Address - Country:US
Practice Address - Phone:727-449-8080
Practice Address - Fax:727-442-8050
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-09
Last Update Date:2010-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH005996111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor