Provider Demographics
NPI:1508966128
Name:HARP, JASON L (DC)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:L
Last Name:HARP
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 1:3421 S LAFOUNTAIN ST
Mailing Address - Street 2:
Mailing Address - City:KOKOMO
Mailing Address - State:IN
Mailing Address - Zip Code:46902-3852
Mailing Address - Country:US
Mailing Address - Phone:765-453-5730
Mailing Address - Fax:765-453-5730
Practice Address - Street 1:3421 S LAFOUNTAIN ST
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46902-3852
Practice Address - Country:US
Practice Address - Phone:765-453-5730
Practice Address - Fax:765-453-5730
Is Sole Proprietor?:No
Enumeration Date:2006-09-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001840A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor