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Individual

DR. JASON DAVID DRIVERE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
212 W VINE ST, NEW WILMINGTON, PA 16142-1206
(724) 946-9410
(724) 946-9411
Mailing address
3950 NEW CASTLE RD, PULASKI, PA 16143-1206
(724) 977-1570

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3537
OH
111N00000X
Chiropractor
Primary
DC009266
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001638338
HIGHMARK BC/BS
PA
05
1017114200001
PA
01
1055654
AMERICAN SPEC. HEALTH
PA
01
421611217
HEALTH AMERICA/ASSURANCE
PA
01
6882206
CIGNA
PA
01
695320
ACN
PA
01
720816
UPMC
PA
01
7432637
AETNA
PA
Enumeration date
10/25/2006
Last updated
02/06/2013
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