Provider Demographics
NPI:1528396298
Name:BLEIMAN, JARID S (DC)
Entity Type:Individual
Prefix:DR
First Name:JARID
Middle Name:S
Last Name:BLEIMAN
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 1:1700 SULLIVAN TRL STE 12
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18040-8333
Mailing Address - Country:US
Mailing Address - Phone:610-438-3040
Mailing Address - Fax:610-438-3613
Practice Address - Street 1:1700 SULLIVAN TRL STE 12
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18040-8333
Practice Address - Country:US
Practice Address - Phone:610-438-3040
Practice Address - Fax:610-438-3613
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-18
Last Update Date:2019-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009118111N00000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1031515940001Medicaid
1528396298OtherNPI
PA428768Medicare PIN