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Contact Information

JEANETTE J GRIMM, D.C.
30448 RANCHO VIEJO RD STE 174
SAN JUAN CAPISTRANO, CA92675-1513
 Phone: 949-682-8528
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor - Nutrition

111NN1001X 35 Chiropractic
 

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for JEANETTE J GRIMM · (Female)

NPI # 1174709133
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 01/21/2008
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 33463
  • TN License # 2254
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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