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Jason Scott Ozbourn
Chiropractor in Benton, Illinois
NPI 1437458304

Jason Scott Ozbourn is a Chiropractor based in Anna, IL. Jason Scott Ozbourn practices in Benton, IL. The NPI Number for Jason Scott Ozbourn is 1437458304 and holds a License No. 038011964 (Illinois).

The current practice location address for Jason Scott Ozbourn is 715 Sheridan Dr, Benton, IL and can be reached out via phone at 618-927-2822.

Location: 715 Sheridan Dr, Benton, IL, 62906-2114
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437458304
Provider Name
Jason Scott Ozbourn
Credential
Provider Entity Type
Individual
Gender
Male
Address
715 Sheridan Dr, Benton, IL, 62906-2114
Phone Number
618-927-2822
Fax Number
Provider Enumeration Date
03/17/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
715 Sheridan Dr
City
Benton
State
Illinois
Zip
62812-1047
Phone Number
618-927-2822
Fax Number
person
Provider Business Mailing Address Details
Address
715 Sheridan Dr
City
Benton
State
Illinois
Zip
62812-1047
Phone Number
618-927-2822
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
038.011964 (Illinois)
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.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
038011964 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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