Individual
DR. JASON O JAEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6592 N DECATUR BLVD, SUITE 115, LAS VEGAS, NV 89131-1037
(702) 396-4993
(702) 636-4990
Mailing address
PO BOX 401805, LAS VEGAS, NV 89140-1805
(702) 396-4993
(702) 636-4990
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
B00949
NV
111NN1001X
Nutrition Chiropractor
B00949
NV
208100000X
Physical Medicine & Rehabilitation Physician
Primary
B00949
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39031
MEDICARE ID PART B
NV
Enumeration date
03/26/2006
Last updated
09/17/2013
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