Individual
JASON HOISINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1033 1ST ST NE, FARIBAULT, MN 55021-5407
(507) 332-8623
Mailing address
1033 1ST ST NE, FARIBAULT, MN 55021-5407
(507) 332-8623
(507) 331-3122
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4720
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
318695400
MEDICAL ASSISTANCE
MN
01
—
94G04HO
BLUE CROSS BLUE SHIELD
MN
Enumeration date
11/02/2006
Last updated
11/23/2016
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