Ingham, Jason Wayne

Ingham, Jason Wayne is an individual health care provider with primary practice located at 2828 N Clark St , Chicago IL 60657-5775. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Sports Physician. Chiropractic Providers / Chiropractor is his primary health care specialty. Ingham, Jason Wayne can be contacted via phone (773) 868-0347.

Contact Information

Primary practice address
2828 N Clark St Chicago IL 60657-5775
Phone: (773) 868-0347
Fax: (773) 868-0401
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038008978 Illinois
Chiropractic Providers / Sports Physician 111NS0005X 038-008978 Illinois

Profile Details

NPI number 1295835445
LBN Legal business name Ingham, Jason Wayne
Credentials DC, CCSP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jul 12th, 2023 - about last year

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 1295835445 NPPES
Illinois Other 01626851 BLUE CROSS BLUE SHEILD

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