National Provider Identifier
Jesse Jonathan Odell, DC
Jesse Jonathan Odell, DC is listed in the NPPES registry with a primary specialty of Chiropractor in Buffalo, NY and a listed phone number of (716) 322-0290.
Profile Overview
- NPI
- 1962054742
- Provider Type
- Individual
- Primary Specialty
- Chiropractor
- Enumeration Date
- July 12, 2019
- Last Updated
- July 12, 2019
Practice Location
- 295 Main St
- Buffalo, NY 14203-2412
Phone: (716) 322-0290
Specialties
- Chiropractor (111N00000X)
Full Record
- NPI
- 1962054742
- Entity Type
- Individual
- Last Name
- Odell
- First Name
- Jesse
- Middle Name
- Jonathan
- Credential
- DC
- Mailing Street Address
- 295 Main St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14203-2412
- Mailing Country
- US
- Mailing Phone
- (716) 322-0290
- Mailing Fax
- (716) 322-0361
- Practice Street Address
- 295 Main St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-2412
- Practice Country
- US
- Practice Phone
- (716) 322-0290
- Practice Fax
- (716) 322-0361
- Enumeration Date
- July 12, 2019
- Last Updated
- July 12, 2019
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Chiropractor (111N00000X)