Individual
DR. JASON R FETTERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
56 INDUSTRIAL PARK ROAD, SUITE 2, BROOKVILLE, PA 15825-1517
(814) 849-5834
(814) 849-5834
Mailing address
56 INDUSTRIAL PARK ROAD, SUITE 2, BROOKVILLE, PA 15825-1517
(814) 849-5834
(814) 849-5834
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007942L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018763570004
—
PA
01
—
556387
HIGHMARK
PA
Enumeration date
07/11/2006
Last updated
11/07/2014
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