Provider Demographics
NPI: | 1306839303 |
---|---|
Name: | TOWEY, JASON M (DC) |
Entity Type: | Individual |
Prefix: | |
First Name: | JASON |
Middle Name: | M |
Last Name: | TOWEY |
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: | 217 PHILADELPHIA AVE |
Mailing Address - Street 2: | |
Mailing Address - City: | EGG HARBOR CITY |
Mailing Address - State: | NJ |
Mailing Address - Zip Code: | 08215-1330 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 609-593-3190 |
Mailing Address - Fax: | 609-593-3173 |
Practice Address - Street 1: | 217 PHILADELPHIA AVE |
Practice Address - Street 2: | |
Practice Address - City: | EGG HARBOR CITY |
Practice Address - State: | NJ |
Practice Address - Zip Code: | 08215-1330 |
Practice Address - Country: | US |
Practice Address - Phone: | 609-593-3190 |
Practice Address - Fax: | 609-593-3173 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2005-08-24 |
Last Update Date: | 2012-02-21 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NJ | MC05726 | 111N00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 111N00000X | Chiropractic Providers | Chiropractor |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
NJ | 5913605 | Other | CIGNA |
NJ | 3984835 | Other | AETNA HMO |
NJ | 671577 | Other | UNITED HEALTHCARE |
NJ | 7539729 | Other | AETNA |
NJ | 2452383000 | Other | AMERIHEALTH |
NJ | 671577 | Other | UNITED HEALTHCARE |
NJ | U83546 | Medicare UPIN |