Individual
JASON CERUTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
10000 AURORA HUDSON RD, SUITE B, HUDSON, OH 44236
(234) 380-5351
(234) 380-5710
Mailing address
10000 AURORA HUDSON RD, SUITE B, HUDSON, OH 44236
(234) 380-5351
(234) 380-5710
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00531300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0177689000
AMERIHEALTH HMO POS
—
01
—
2281868
AETNA US HEALTHCARE
—
01
—
9074264
PIN PHCS
—
Enumeration date
06/15/2006
Last updated
07/09/2018
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