Provider Demographics
NPI:1568775773
Name:DAMMEN, JASON (DC)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:
Last Name:DAMMEN
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 1:300 3RD ST SW STE B
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58701-3705
Mailing Address - Country:US
Mailing Address - Phone:701-852-1665
Mailing Address - Fax:701-852-1664
Practice Address - Street 1:300 3RD ST SW STE B
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58701-3705
Practice Address - Country:US
Practice Address - Phone:701-852-1665
Practice Address - Fax:701-852-1664
Is Sole Proprietor?:No
Enumeration Date:2010-07-16
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND867111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor