Provider Demographics
NPI:1871583286
Name:LEMMEN, JENNIFER ANN (DC)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:ANN
Last Name:LEMMEN
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 1:4940 W CLARK RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-0860
Mailing Address - Country:US
Mailing Address - Phone:734-434-8881
Mailing Address - Fax:734-434-8884
Practice Address - Street 1:4940 W CLARK RD
Practice Address - Street 2:SUITE 101
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-0860
Practice Address - Country:US
Practice Address - Phone:734-434-8881
Practice Address - Fax:734-434-8884
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIJL007975111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
136559OtherPREF CHOICE PPO
136559OtherPREF CHOICE PPO
U83265Medicare UPIN