Provider Demographics
NPI:1649745001
Name:MIHALIK, JASON PETER (PHD, CAT(C), ATC)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:PETER
Last Name:MIHALIK
Suffix:
Gender:M
Credentials:PHD, CAT(C), ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 FETZER HALL CB 8700
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-8700
Mailing Address - Country:US
Mailing Address - Phone:919-962-2573
Mailing Address - Fax:
Practice Address - Street 1:209 FETZER HALL CB 8700
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-8700
Practice Address - Country:US
Practice Address - Phone:919-962-2573
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-11
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10202255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer