Provider Demographics
NPI:1417673666
Name:RAMOS, JASON ALEX (DC)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:ALEX
Last Name:RAMOS
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 1:1711 CENTRAL PKWY SW STE N
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-6825
Mailing Address - Country:US
Mailing Address - Phone:256-353-7576
Mailing Address - Fax:
Practice Address - Street 1:1711 CENTRAL PKWY SW STE N
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-6825
Practice Address - Country:US
Practice Address - Phone:256-353-7576
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-18
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2759111NP0017X, 111NR0200X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No111NP0017XChiropractic ProvidersChiropractorPediatric Chiropractor
No111NR0200XChiropractic ProvidersChiropractorRadiology