DR. JASON KEITH DOMENICK D.C. NPI 1730408444

NPI Information

NPI: 1730408444
Provider Name: DR. JASON KEITH DOMENICK, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
905 W KEEGANS WAY
GREENSBURG, IN
ZIP 47240
Phone: (812) 663-7640
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DR. Jason Keith Domenick, D.C. is a chiropractor in Greensburg, IN. 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. DR. Jason Keith Domenick, D.C. NPI is 1730408444. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

905 W KEEGANS WAY
GREENSBURG, IN
ZIP 47240-409
Phone: (812) 663-7640
Fax: (812) 662-6356

The enumeration date for this NPI number is 5/19/2010 and was last updated on 1/29/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	111N00000X	Chiropractor	DC010243	PENNSYLVANIA	No
2	111N00000X	Chiropractor	08002663A	INDIANA	No
3	111N00000X	Chiropractor	81000133A	INDIANA	No
4	111N00000X	Chiropractor	4073	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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