Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 0104-557595 | VA |
N | 111NR0200X | Radiology | 0104-557595 | VA |
N | 213ER0200X | Radiology | 0104-557595 | VA |
N | 111NR0400X | Rehabilitation Chiropractor | 0104-557595 | VA |
N | 111NS0005X | Chiropractic Sports Physician | 0104-557595 | VA |
N | 111NX0800X | Chiropractor Orthopedic Specialist | 0104-557595 | VA |
NPI | 1386298917 |
---|---|
Provider Name | Dr. Jason Harper |
First Address | Felton, DE 19943-6609 |
Second Address | Charlottesville, VA 22901-2886 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2019 |
Last Update Date | 31/07/2019 |