Provider Demographics
NPI:1477965630
Name:STRIEDEL, JASON (CNIM, DC)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:
Last Name:STRIEDEL
Suffix:
Gender:M
Credentials:CNIM, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1452 N US HIGHWAY 1
Mailing Address - Street 2:STE 103
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32174-6638
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1452 N US HIGHWAY 1
Practice Address - Street 2:STE 103
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32174-6638
Practice Address - Country:US
Practice Address - Phone:386-672-1250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-22
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic