Doctor Name: | DR. JONATHAN BARRET HERBERT |
NPI Number: | 1669641528 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | DC-30806 |
Business Practice Address: | 4897 Miller Trunk Hwy Suite 228 Hermantown, MN - 558111584 |
Business Phone Number: | 2187273343 |
Business Fax Number: | 2182068345 |
Mailing Address: | 4897 Miller Trunk Hwy, Suite 228 HERMANTOWN |
State: | MN |
Postal Code: | 558111584 |
Phone Number: | 2187273343 |
Fax Number: | 2182068345 |
NPI Enumeration Date: | 02/25/2008 |
NPI Last Update Date: | 09/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | DC-30806 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |