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Dr. Jason Ryan Whitacre, DC
Chiropractor in Murphysboro, Illinois
NPI 1417975533

Jason Ryan Whitacre is a Chiropractor based in Murphysboro, IL. Jason Ryan Whitacre practices in Murphysboro, IL and has the professional credentials of DC. The NPI Number for Jason Ryan Whitacre is 1417975533 and holds a License No. (Illinois).

The current practice location address for Jason Ryan Whitacre is 1200 Locust St, Murphysboro, IL and can be reached out via phone at 618-684-3344 and via fax at 618-684-2216.

Location: 1200 Locust St, Murphysboro, IL, 62966-2938
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417975533
Provider Name
Jason Ryan Whitacre
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1200 Locust St, Murphysboro, IL, 62966-2938
Phone Number
618-684-3344
Fax Number
618-684-2216
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0003932012 01 IL BCBS
institution
Provider Business Practice Location Address Details
Address
1200 Locust St
City
Murphysboro
State
Illinois
Zip
62966-2121
Phone Number
618-684-3344
Fax Number
618-684-2216
person
Provider Business Mailing Address Details
Address
1200 Locust St
City
Murphysboro
State
Illinois
Zip
62966-2121
Phone Number
618-684-3344
Fax Number
618-684-2216
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
(Missouri)
Definition
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.
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