Provider Demographics
NPI:1841364361
Name:JARBOE, PAMELA J (DC)
Entity type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:J
Last Name:JARBOE
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 1:253 ARLINGTON ST
Mailing Address - Street 2:
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01720-2201
Mailing Address - Country:US
Mailing Address - Phone:978-263-9355
Mailing Address - Fax:
Practice Address - Street 1:253 ARLINGTON ST
Practice Address - Street 2:
Practice Address - City:ACTON
Practice Address - State:MA
Practice Address - Zip Code:01720-2201
Practice Address - Country:US
Practice Address - Phone:978-263-9355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2573111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAU96575Medicare UPIN
MAY45652Medicare ID - Type Unspecified