Jason Ryan Whitacre in Murphysboro - Chiropractor

Jason Ryan Whitacre - NPI 1417975533

Jason Ryan Whitacre is a Chiropractor in Murphysboro, Illinois. Jason Ryan Whitacre practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jason Ryan Whitacre is 1417975533. The last update date is 2007-07-08.

Jason Ryan Whitacre's current location address is 7 Suburban Dr, Murphysboro, Illinois. You can contact this provider via phone number 6186843344 and fax number 6186842216. The mailing address for Jason Ryan Whitacre is 7 Suburban Dr, Murphysboro, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Jason Ryan Whitacre
Address 7 Suburban Dr, Murphysboro, Illinois
Phone Number 6186843344
Fax Number 6186842216
Sole Proprietor N
Credentials D.C.

NPI Number Detail

NPI Number 1417975533
Provider Enumeration Date 2006-07-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 7 Suburban Dr
City Murphysboro
State Illinois (IL)
Post Code 629662938
Phone Number 6186843344
Fax Number 6186842216

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
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 inte

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3932012 IL BCBS

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FAQs about Jason Ryan Whitacre

What is the unique 10-digit identifier code assigned to Jason Ryan Whitacre by the Centers for Medicare & Medicaid Services?

The Jason Ryan Whitacre has been issued the NPI (National Provider Identifier) 1417975533 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Jason Ryan Whitacre is geographically located?

The Jason Ryan Whitacre is physically situated at the following location: 7 Suburban Dr, Murphysboro, IL, 629662938.

What is Jason Ryan Whitacre's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jason Ryan Whitacre is Chiropractor, and the corresponding taxonomy classification code for this specialized field is 111N00000X.

On what date was the 1417975533 assigned to Jason Ryan Whitacre?

The Jason Ryan Whitacre was issued its 1417975533 on 2006-07-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Jason Ryan Whitacre last refreshed?

The information related to the Jason Ryan Whitacre, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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