Individual
DR. JASON MICHAEL HANFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
908 RAIN FOREST PKWY STE B, COLUMBIA, MO 65202-1657
(573) 875-4673
Mailing address
908 RAIN FOREST PKWY STE B, COLUMBIA, MO 65202-1657
(573) 875-4673
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2005035237
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208655
BCBS PROVIDER ID
MO
Enumeration date
08/11/2006
Last updated
07/08/2007
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