DR. JENNIFER ANNE-LIEBERSBACH BERTOVICH DC NPI 1669848180

NPI Information

NPI: 1669848180
Provider Name: DR. JENNIFER ANNE-LIEBERSBACH BERTOVICH, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
630 SUN VALLEY RD. STE D102
KETCHUM, ID
ZIP 83340
Phone: (775) 303-8005
Get Directions

DR. Jennifer Anne-liebersbach Bertovich, DC is a chiropractor in Ketchum, ID. 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. Jennifer Anne-liebersbach Bertovich, DC NPI is 1669848180. 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:

630 SUN VALLEY RD. STE D102
KETCHUM, ID
ZIP 83340
Phone: (775) 303-8005

The enumeration date for this NPI number is 8/19/2015 and was last updated on 3/11/2024.

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		CHIA-1880	IDAHO	Yes
2	111NN1001X	Chiropractor	Nutrition	33042	CALIFORNIA	No
3	111NP0017X	Chiropractor	Pediatric Chiropractor	33042	CALIFORNIA	No
4	111NR0400X	Chiropractor	Rehabilitation	33042	CALIFORNIA	No
5	111NS0005X	Chiropractor	Sports Physician	33042	CALIFORNIA	No
6	111NX0800X	Chiropractor	Orthopedic	33042	CALIFORNIA	No
7	111N00000X	Chiropractor		33042	CALIFORNIA	No

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »