Jernberg, Jeffrey Michael

Jernberg, Jeffrey Michael is an sole proprietor health care provider with primary practice located at 4281 Sergeant Rd , Sioux City IA 51106-4625. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Jernberg, Jeffrey Michael can be contacted via phone (712) 274-6695.

Contact Information

Primary practice address
4281 Sergeant Rd Sioux City IA 51106-4625
Phone: (712) 274-6695
Fax: (712) 274-6699
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 06265 Iowa

Profile Details

NPI number 1942293378
LBN Legal business name Jernberg, Jeffrey Michael
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2005
Last updated Oct 31st, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942293378 NPPES
Iowa Other 09074 BLUE CROSS BLUE SHIELD
Iowa MEDICAID 020611 BLUE CROSS BLUE SHIELD

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