Jason R Just
Organization Active NPI Chiropractor · Woodsfield, OH
NPI 1407035504 · NPPES record last updated Nov 19, 2013
Key facts
- NPI
- 1407035504
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3437 (OH)
- Legal business name
- JASON R JUST
- Practice address
- 742 Lewisville Rd
Woodsfield, OH 43793-9061 - Phone
- (724) 472-2100
- NPI assigned
- Oct 25, 2007
- Organization subpart
- No
Authorized official
- Name
- Leslie Miller
- Title
- Billing Supervisor
- Phone
- (724) 283-1825
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060221000249 | OH | Part B Supplier - Clinic/Group Practice | 4082629563 |
Receives reassigned benefits from 1 practitioner Practice locations: Woodsfield, OH |
National Provider Directory
Locations
742 Lewisville Rd
Woodsfield, OH 43793
Phone (740) 472-0400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 3437 | OH | Yes |
Addresses
Primary practice location
742 Lewisville Rd
Woodsfield, OH 43793-9061
Mailing address
742 Lewisville Rd
Woodsfield, OH 43793-9061
Phone (724) 472-2100
Other providers in Woodsfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.