Organization
PENNSYLVANIA CHIRO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON COZART D.C. (OWNER)
(724) 852-4222
Entity
Organization
Contact information
Practice address
1159 6TH ST, WAYNESBURG, PA 15370-0000
(724) 852-4222
(724) 852-4222
Mailing address
1159 6TH ST, WAYNESBURG, PA 15370-0000
(724) 852-4222
(724) 852-4222
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
AJ008623
PA
111N00000X
Chiropractor
AJ008624
PA
111N00000X
Chiropractor
DC008737
PA
111N00000X
Chiropractor
DC008762
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114630
MEDICARE
PA
01
—
114630WZ9
MEDICARE
PA
01
—
1358010
BC GROUP NUMBER
PA
Enumeration date
04/02/2007
Last updated
11/14/2007
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