Drivere, Jason David

Drivere, Jason David is an individual health care provider with primary practice located at 212 W Vine St , New Wilmington PA 16142-1206. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Drivere, Jason David can be contacted via phone (724) 946-9410.

Contact Information

Primary practice address
212 W Vine St New Wilmington PA 16142-1206
Fax: (724) 946-9411
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC009266 Pennsylvania
Chiropractic Providers / Chiropractor 111N00000X 3537 Ohio

Profile Details

NPI number 1932283637
LBN Legal business name Drivere, Jason David
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Feb 6th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932283637 NPPES
Pennsylvania Other 7432637 AETNA
Pennsylvania Other 1055654 AETNA
Pennsylvania Other 720816 AETNA
Pennsylvania Other 695320 AETNA
Pennsylvania MEDICAID 1017114200001 AETNA
Pennsylvania Other 421611217 AETNA
Pennsylvania Other 001638338 AETNA
Pennsylvania Other 6882206 AETNA

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