Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC008737 | PA |
N | 111NN0400X | Neurology | DC008737 | PA |
N | 111NN1001X | Nutrition | DC008737 | PA |
N | 111NR0200X | Radiology | DC008737 | PA |
N | 213ER0200X | Radiology | DC008737 | PA |
N | 111NR0400X | Rehabilitation Chiropractor | DC008737 | PA |
N | 111NS0005X | Chiropractic Sports Physician | DC008737 | PA |
N | 111NT0100X | Thermography | DC008737 | PA |
N | 111NX0100X | Occupational Health | DC008737 | PA |
N | 111NX0800X | Chiropractor Orthopedic Specialist | DC008737 | PA |
NPI | 1528182672 |
---|---|
Provider Name | Dr. Jason F. Cozart |
First Address | Waynesburg, PA 15370-1645 |
Second Address | Waynesburg, PA 15370-1645 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2007 |
Last Update Date | 09/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0007344375 | AETNA (01) | PA |
054874WZ9 | MEDICARE (01) | PA |
1030409 | HEALTH ASSURANCE (01) | PA |
1030409 | PEBTF (01) | PA |
409113 | HEALTH AMERICA-ADVANTRA (01) | PA |