Provider Demographics
NPI:1669929345
Name:BARCHENGER, JESSICA (DC)
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:
Last Name:BARCHENGER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:JESSICA
Other - Middle Name:
Other - Last Name:BARRETO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:610 E FRANCIS ST UNIT 160
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91761-5437
Mailing Address - Country:US
Mailing Address - Phone:909-773-1976
Mailing Address - Fax:909-923-1509
Practice Address - Street 1:610 E FRANCIS ST UNIT 170
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91761-5406
Practice Address - Country:US
Practice Address - Phone:909-773-1976
Practice Address - Fax:909-923-1509
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-09
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDC 1336111N00000X
CA34325111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor