Jacobs, Jason Ronald

Jacobs, Jason Ronald is an individual health care provider with primary practice located at 65 Dolby St Ste 2 , Clarion PA 16214-8517. He recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as his primary health care specialty. Jacobs, Jason Ronald can be contacted via phone (724) 478-1501.

Contact Information

Primary practice address
65 Dolby St Ste 2 Clarion PA 16214-8517
Fax: (724) 478-1552
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Rehabilitation 111NR0400X DC-007865-L Pennsylvania

Profile Details

NPI number 1114051141
LBN Legal business name Jacobs, Jason Ronald
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Jul 8th, 2007 - about 17 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 1114051141 NPPES
Pennsylvania Other JA607918 HIGHMARK BS

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