MEDICARE: DOCTOR JASON E. BEAN, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1255012043
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOCTOR JASON E. BEAN, P.C.

Provider Business Mailing Address
First Line	:	3424 WILLIAM PENN HWY STE 168
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15235-5444
Country	:	US
Telephone Number	:	412-823-2180
Fax Number	:	412-823-6165

Provider Business Practice Location Address
First Line	:	3424 WILLIAM PENN HWY STE 168
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15235-5444
Country	:	US
Telephone Number	:	412-823-2180
Fax Number	:	412-823-6165

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JASON ELLIOT BEAN
Credential	:	DC
Telephone Number	:	412-823-2180

Provider Enumeration Date	:	07/26/2023
Last Update Date	:	07/26/2023

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