Provider Demographics
NPI:1447302237
Name:JENKINS, ANNA MARIA (DC)
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:MARIA
Last Name:JENKINS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MRS
Other - First Name:ANNA
Other - Middle Name:MARIA
Other - Last Name:JENKINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:37 S HICKORY ST
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-3317
Mailing Address - Country:US
Mailing Address - Phone:740-775-0550
Mailing Address - Fax:740-775-0552
Practice Address - Street 1:37 S HICKORY ST
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-3317
Practice Address - Country:US
Practice Address - Phone:740-775-0550
Practice Address - Fax:740-775-0552
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1568111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH4400286OtherUHC PROVIDER NUMBER
OH000000120416OtherANTHEM PIN NUMBER
OHJE4096201Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER