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NPI Code Detail

MEDICARE: MR. JASON EUGENE CUPP D.C.

MEDICARE:  MR. JASON EUGENE CUPP  D.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
1111N00000XChiropractorA06144IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588741839
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JASON EUGENE CUPP D.C.
Provider Business Mailing Address
First Line : 52 STURGIS CORNER DR
Second Line :
City : IOWA CITY
State : IA
Zip : 52246-5617
Country : US
Telephone Number : 319-688-2974
Fax Number :
Provider Business Practice Location Address
First Line : 52 STURGIS CORNER DR
Second Line :
City : IOWA CITY
State : IA
Zip : 52246-5617
Country : US
Telephone Number : 319-688-2974
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 07/08/2007

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Directions to “ MR. JASON EUGENE CUPP D.C.” Practice Location

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