=====================================================
General NPI Number Information
=====================================================
NPI Number | 1609095785
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JONATHAN JAMES CROUSE D.C.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/25/2007
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8478 RTE 949
-----------------------------------------------------
City | SIGEL
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15860
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 814-752-2218
-----------------------------------------------------
Fax | 814-752-2218
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8478 RT 949 PO BOX 24
-----------------------------------------------------
City | SIGEL
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15860
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 814-752-2218
-----------------------------------------------------
Fax | 814-752-2218
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | DC008800
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 111NR0400X
-----------------------------------------------------
Taxonomy Name | Rehabilitation Chiropractor
-----------------------------------------------------
License Number | AJ008669
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------