Provider Demographics
NPI:1710095732
Name:SLINKER, JASON WAYNE (DC)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:WAYNE
Last Name:SLINKER
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 1:603 COLUMBIA HWY # B
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:42743-1115
Mailing Address - Country:US
Mailing Address - Phone:270-932-2030
Mailing Address - Fax:270-932-2031
Practice Address - Street 1:603 COLUMBIA HWY # B
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:KY
Practice Address - Zip Code:42743-1115
Practice Address - Country:US
Practice Address - Phone:270-932-2030
Practice Address - Fax:270-932-2031
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4488111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY85002376Medicaid
KY000000292100OtherANTHEM
KYU73808Medicare UPIN
KY85002376Medicaid