Provider Demographics
NPI:1144315425
Name:JAMINET, RICK J (DC)
Entity type:Individual
Prefix:DR
First Name:RICK
Middle Name:J
Last Name:JAMINET
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 4127
Mailing Address - Street 2:SUITE A
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24015-0127
Mailing Address - Country:US
Mailing Address - Phone:540-981-9394
Mailing Address - Fax:540-344-7154
Practice Address - Street 1:20607 TIMBERLAKE RD
Practice Address - Street 2:SUITE A
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-7206
Practice Address - Country:US
Practice Address - Phone:434-239-9077
Practice Address - Fax:434-239-4643
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0104000743111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA350000220Medicare ID - Type UnspecifiedCHIROPRACTOR
VAU27984Medicare UPIN