DR. ROBERTA D JAEGER D.C. NPI 1629114731

NPI Information

NPI: 1629114731
Provider Name: DR. ROBERTA D JAEGER, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
30 GORHAM ST
LOWELL, MA
ZIP 01852
Phone: (978) 452-4223
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DR. Roberta D Jaeger, D.C. is a chiropractor in Lowell, MA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Roberta D Jaeger, D.C. NPI is 1629114731. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

30 GORHAM ST
LOWELL, MA
ZIP 01852-575
Phone: (978) 452-4223
Fax: (978) 452-1511

The enumeration date for this NPI number is 1/29/2007 and was last updated on 2/2/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		009261	NEW YORK	No
2	111N00000X	Chiropractor		2348	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0027885	OTHER	MASSACHUSETTS	NEIGHBORHOOD HEALTH PLAN
2	352291	OTHER	MASSACHUSETTS	HARVARD PLIGRIM HEALTH PL
3	1601067	MEDICAID	MASSACHUSETTS
4	Y36673	OTHER	MASSACHUSETTS	BCBS OF MASSACHUSETTS
5	2554325	OTHER	MASSACHUSETTS	AETNA HEALTH PLAN
6	Y45388	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS	MEDICARE PROVIDER NUMBER
7	468521	OTHER	MASSACHUSETTS	TUFTS HEALTH PLAN
8	97718801	OTHER	MASSACHUSETTS	NETWORK HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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