DR. JONATHAN JAMES CROUSE, D.C. - NPI NUMBER 1609095785

Summary

Provider Name: DR. JONATHAN JAMES CROUSE, D.C.

NPI Number: 1609095785

Clasification: Chiropractor (111N00000X)

Address:
8478 RTE 949
SIGEL, PA
ZIP 15860

Phone Number: (814) 752-2218



Detailed Information

DR. Jonathan James Crouse, D.C. is a chiropractor in Sigel, PA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. The assigned NPI number for this provider is 1609095785 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business address is:

8478 RTE 949
SIGEL, PA
ZIP 15860
Phone: (814) 752-2218
Fax: (814) 752-2218

The enumeration date for this NPI number is 4/25/2007 and was last updated on 7/8/2007.

Map - Location of Practice

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 111N00000X Chiropractor DC008800 PA X
2 111NR0400X Chiropractor Rehabilitation AJ008669 PA X

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 1690585 OTHER PA HIGHMARK BLUE CROSS BLUE

NPI Record

No. Field Name Field Value
1 NPI 1609095785
2 Entity Type Code 1
3 Provider Last Name Legal Name CROUSE
4 Provider First Name JONATHAN
5 Provider Middle Name JAMES
6 Provider Name Prefix Text DR.
7 Provider Credential Text D.C.
8 Provider First Line Business Practice Location Address 8478 RTE 949
9 Provider Business Practice Location Address City Name SIGEL
10 Provider Business Practice Location Address State Name PA
11 Provider Business Practice Location Address Postal Code 15860
12 Provider Business Practice Location Address Country Code If outside U S US
13 Provider Business Practice Location Address Telephone Number 8147522218
14 Provider Business Practice Location Address Fax Number 8147522218
15 Provider Enumeration Date 4/25/2007
16 Last Update Date 7/8/2007
17 Provider Gender Code M
18 Healthcare Provider Taxonomy Code 1 111N00000X
19 Provider License Number 1 DC008800
20 Provider License Number State Code 1 PA
21 Healthcare Provider Primary Taxonomy Switch 1 X
22 Healthcare Provider Taxonomy Code 2 111NR0400X
23 Provider License Number 2 AJ008669
24 Provider License Number State Code 2 PA
25 Healthcare Provider Primary Taxonomy Switch 2 X
26 Other Provider Identifier 1 1690585
27 Other Provider Identifier Type Code 1 01
28 Other Provider Identifier State 1 PA
29 Other Provider Identifier Issuer 1 HIGHMARK BLUE CROSS BLUE
30 Is Sole Proprietor Y

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This page was last updated on: 4/14/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.