Individual
MR. JASON RANDALL PLACEWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
455 DELTA AVE, SUITE 1, CINCINNATI, OH 45226-1127
(513) 321-8484
(513) 321-3676
Mailing address
455 DELTA AVE, SUITE 1, CINCINNATI, OH 45226-1127
(513) 321-8484
(513) 321-3676
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3912
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0687065
MEDICAID GROUP NUMBER
OH
Enumeration date
06/13/2008
Last updated
04/25/2011
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