Provider Demographics
NPI:1255448338
Name:FURCHT, JENNIFER ANN (DC)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:ANN
Last Name:FURCHT
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 1:1530 TANGLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-5853
Mailing Address - Country:US
Mailing Address - Phone:610-647-0403
Mailing Address - Fax:
Practice Address - Street 1:17 RAVINE RD
Practice Address - Street 2:SUITE 120
Practice Address - City:FRAZER
Practice Address - State:PA
Practice Address - Zip Code:19355-1941
Practice Address - Country:US
Practice Address - Phone:484-318-9147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009499111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor