Provider Demographics
NPI:1205857646
Name:CINTI, JASON B (DC)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:B
Last Name:CINTI
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 1:1075 HARRISON CITY EXPORT RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:JEANNETTE
Mailing Address - State:PA
Mailing Address - Zip Code:15644-4309
Mailing Address - Country:US
Mailing Address - Phone:724-744-2211
Mailing Address - Fax:724-744-2210
Practice Address - Street 1:1075 HARRISON CITY-EXPORT ROAD
Practice Address - Street 2:SUITE 4
Practice Address - City:JEANNETTE
Practice Address - State:PA
Practice Address - Zip Code:15644-4600
Practice Address - Country:US
Practice Address - Phone:724-744-2211
Practice Address - Fax:724-744-2210
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2016-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007671L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1015994650001Medicaid
PA336528OtherHIGHMARK
PA034153QWMMedicare ID - Type Unspecified
PA1015994650001Medicaid