Provider Demographics
NPI:1801850888
Name:HELMS, JASON VAUGHN (DC)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:VAUGHN
Last Name:HELMS
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:PO BOX 429
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:AR
Mailing Address - Zip Code:72745-0429
Mailing Address - Country:US
Mailing Address - Phone:479-770-0935
Mailing Address - Fax:479-770-0945
Practice Address - Street 1:212 S LINCOLN ST
Practice Address - Street 2:SUITE C
Practice Address - City:LOWELL
Practice Address - State:AR
Practice Address - Zip Code:72745-9782
Practice Address - Country:US
Practice Address - Phone:479-770-0935
Practice Address - Fax:479-770-0945
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1655111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR159605718Medicaid
AR5Y571OtherBLUE CROSS/BLUE SHIELD
AR5Y571Medicare ID - Type Unspecified
AR5Y571OtherBLUE CROSS/BLUE SHIELD