Bollenbaugh, Jason

Bollenbaugh, Jason is an individual health care provider with primary practice located at 2191 Hillsboro Rd Suite A, Franklin TN 37069-6223. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bollenbaugh, Jason can be contacted via phone (618) 420-0409.

Contact Information

Primary practice address
2191 Hillsboro Rd Suite A Franklin TN 37069-6223
Phone: (618) 420-0409
Fax: (615) 465-6682
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038-009505 Illinois
Chiropractic Providers / Chiropractor 111N00000X 2614 Tennessee

Profile Details

NPI number 1245237189
LBN Legal business name Bollenbaugh, Jason
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jun 12th, 2014 - about 12 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 1245237189 NPPES
Illinois Other 210868001 MEDICARE PTAN - INDIVIDUAL
Illinois Other 681087 MEDICARE PTAN - INDIVIDUAL
Illinois Other 7521142 MEDICARE PTAN - INDIVIDUAL
Illinois Other 620543 MEDICARE PTAN - INDIVIDUAL
Illinois Other 210868 MEDICARE PTAN - INDIVIDUAL
Illinois Other 37-1361254 MEDICARE PTAN - INDIVIDUAL
Illinois Other 601151600 MEDICARE PTAN - INDIVIDUAL

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