Provider Demographics
NPI:1689940926
Name:SZABO, JASON
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:
Last Name:SZABO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 W QUEEN CREEK RD
Mailing Address - Street 2:#2
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85248-3001
Mailing Address - Country:US
Mailing Address - Phone:602-920-3294
Mailing Address - Fax:
Practice Address - Street 1:1801 W QUEEN CREEK RD
Practice Address - Street 2:#2
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85248-3001
Practice Address - Country:US
Practice Address - Phone:602-920-3294
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-30
Last Update Date:2012-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8236111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor