Provider Demographics
NPI:1902334030
Name:JASON O'REAR CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:JASON O'REAR CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:O'REAR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:985-789-9592
Mailing Address - Street 1:27250 PERDIDO BEACH BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:ORANGE BEACH
Mailing Address - State:AL
Mailing Address - Zip Code:36561-3205
Mailing Address - Country:US
Mailing Address - Phone:251-968-2225
Mailing Address - Fax:251-981-7600
Practice Address - Street 1:27250 PERDIDO BEACH BLVD STE A
Practice Address - Street 2:
Practice Address - City:ORANGE BEACH
Practice Address - State:AL
Practice Address - Zip Code:36561-3205
Practice Address - Country:US
Practice Address - Phone:251-968-2225
Practice Address - Fax:251-981-7600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2514111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty