Provider Demographics
NPI:1740327352
Name:BEAN, JASON (DC)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:
Last Name:BEAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5855 STEUBENVILLE PIKE STE 200
Mailing Address - Street 2:
Mailing Address - City:MC KEES ROCKS
Mailing Address - State:PA
Mailing Address - Zip Code:15136-1356
Mailing Address - Country:US
Mailing Address - Phone:412-490-2500
Mailing Address - Fax:412-490-2510
Practice Address - Street 1:5855 STEUBENVILLE PIKE STE 200
Practice Address - Street 2:
Practice Address - City:MC KEES ROCKS
Practice Address - State:PA
Practice Address - Zip Code:15136-1356
Practice Address - Country:US
Practice Address - Phone:412-490-2500
Practice Address - Fax:412-490-2510
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007529L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA027934Medicare ID - Type Unspecified
PAU75421Medicare UPIN