Provider Demographics
NPI:1902854805
Name:SESSIONS, JASON SCOTT (DC)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:SCOTT
Last Name:SESSIONS
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 1:1797 MAIN RD
Mailing Address - Street 2:
Mailing Address - City:JOHNS ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29455-3447
Mailing Address - Country:US
Mailing Address - Phone:843-559-5455
Mailing Address - Fax:843-559-3435
Practice Address - Street 1:1797 MAIN RD
Practice Address - Street 2:
Practice Address - City:JOHNS ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29455-3447
Practice Address - Country:US
Practice Address - Phone:843-559-5455
Practice Address - Fax:843-559-3435
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1834111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCCH1834Medicaid
SCU528290281Medicare PIN
SCU52829Medicare UPIN