Organization
CHIROPRACTIC & SPINAL CARE CLINIC OF MASCOUTAH
Active
Organization
CHIROPRACTIC & SPINAL CARE CLINIC OF MASCOUTAH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON JAY BOLLENBAUGH D.C. (PRESENDENT / OWNER)
(618) 566-3500
Entity
Organization
Contact information
Practice address
111 E CHURCH ST, MASCOUTAH, IL 62258-2110
(618) 566-3500
(618) 566-3500
Mailing address
13166 PRAIRIE GRASS LN, BREESE, IL 62230-4328
(618) 420-0409
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
—
IL
Other
Enumeration date
05/09/2006
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up