Whitacre, Jason Ryan

Whitacre, Jason Ryan is an individual health care provider with primary practice located at 1200 Locust St , Murphysboro IL 62966-2121. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Whitacre, Jason Ryan can be contacted via phone (618) 684-3344.

Contact Information

Primary practice address
1200 Locust St Murphysboro IL 62966-2121
Phone: (618) 684-3344
Fax: (618) 684-2216
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X Missouri

Profile Details

NPI number 1417975533
LBN Legal business name Whitacre, Jason Ryan
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jul 8th, 2007 - about 19 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 1417975533 NPPES
Illinois Other 0003932012 BCBS

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