Provider Demographics
NPI:1346477932
Name:STUTZMAN, JASON (DC)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:
Last Name:STUTZMAN
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 1:542 MAST RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:GOFFSTOWN
Mailing Address - State:NH
Mailing Address - Zip Code:03045-5257
Mailing Address - Country:US
Mailing Address - Phone:603-641-3400
Mailing Address - Fax:603-641-3408
Practice Address - Street 1:542 MAST RD
Practice Address - Street 2:SUITE 2
Practice Address - City:GOFFSTOWN
Practice Address - State:NH
Practice Address - Zip Code:03045-5257
Practice Address - Country:US
Practice Address - Phone:603-641-3400
Practice Address - Fax:603-641-3408
Is Sole Proprietor?:No
Enumeration Date:2009-06-22
Last Update Date:2009-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH816-0408111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor