Individual
DR. JASON JOHN FORTMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1574 ROSE AVE, BURLINGTON, CO 80807-1641
(719) 346-7052
Mailing address
553 HANDOVER DR, CORPUS CHRISTI, TX 78412-3147
(719) 340-0190
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7064
CO
111NR0400X
Rehabilitation Chiropractor
2786218
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7064
CHR
CO
Enumeration date
11/26/2013
Last updated
07/31/2023
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