Provider Demographics
NPI:1710207592
Name:MCGUFFEY, JASON G (DC)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:G
Last Name:MCGUFFEY
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 1:1600 SPARKMAN DR NW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35816-1114
Mailing Address - Country:US
Mailing Address - Phone:256-837-8111
Mailing Address - Fax:256-837-6200
Practice Address - Street 1:1600 SPARKMAN DR NW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35816-1114
Practice Address - Country:US
Practice Address - Phone:256-837-8111
Practice Address - Fax:256-837-6200
Is Sole Proprietor?:No
Enumeration Date:2010-06-03
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2308111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor