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3695 Main St, Jasper, TN 37347-0417 | |
(423) 942-2222 | |
(423) 942-0200 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 3695 Main St, Jasper, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1427257740 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 1747 (Tennessee) | Primary |
Provider Name | Jason Scott Chastain |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1083620405 PECOS PAC ID: 5799951042 Enrollment ID: I20141023001469 |
Mailing Address | Practice Location Address |
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Po Box 910, Jasper, TN 37347-0910 Ph: (423) 942-2222 | 3695 Main St, Jasper, TN 37347-0417 Ph: (423) 942-2222 |
Dr. Jason Ernest Chastain, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3695 Main St, Jasper, TN 37347 Phone: 423-942-2222 Fax: 423-942-0200 |