Provider Demographics
NPI:1891757696
Name:MARKIJOHN, JASON ALBERT (DC)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:ALBERT
Last Name:MARKIJOHN
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 1:400 S. COLORADO BLVD.
Mailing Address - Street 2:SUITE 300
Mailing Address - City:GLENDALE
Mailing Address - State:CO
Mailing Address - Zip Code:80246-3445
Mailing Address - Country:US
Mailing Address - Phone:303-759-5575
Mailing Address - Fax:303-759-5589
Practice Address - Street 1:400 S. COLORADO BLVD.
Practice Address - Street 2:SUITE 300
Practice Address - City:GLENDALE
Practice Address - State:CO
Practice Address - Zip Code:80246-3445
Practice Address - Country:US
Practice Address - Phone:303-759-5575
Practice Address - Fax:303-759-5589
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2015-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8544111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCO41017OtherPTAN