Individual
DR. JASON ALLEN NUTCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1608 WALNUT ST, SUITE 601, PHILADELPHIA, PA 19103-5457
(215) 546-1010
(215) 546-1005
Mailing address
1608 WALNUT ST, SUITE 601, PHILADELPHIA, PA 19103-5457
(215) 546-1010
(215) 546-1005
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC009649
PA
111NT0100X
Thermography Chiropractor
038-010447
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01132008
BLUE CROSS/BLUE SHIELD
IL
Enumeration date
06/27/2006
Last updated
10/02/2013
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