Individual
DR. JASON D HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, CCSP
Contact information
Practice address
1727 S CLEVELAND AVE, SIOUX FALLS, SD 57103-3245
(605) 334-6656
(605) 333-4875
Mailing address
1727 S CLEVELAND AVE, SIOUX FALLS, SD 57103-3245
(605) 334-6656
(605) 333-4875
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
980
SD
111NS0005X
Sports Physician Chiropractor
980
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1594359
AMERICA'S PPO
SD
01
—
20632
SIOUX VALLEY HEALTH PLAN
SD
01
—
4994635
BLUE CROSS
SD
01
—
6437
AVERA HEALTH PLANS
SD
01
—
7594362
AETNA
SD
01
—
C980
DAKOTACARE
SD
Enumeration date
12/21/2005
Last updated
09/06/2012
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