Provider Demographics
NPI:1932468006
Name:CARSTENS, JASON R (DC)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:R
Last Name:CARSTENS
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 1:1956 US HIGHWAY 61
Mailing Address - Street 2:
Mailing Address - City:LETTS
Mailing Address - State:IA
Mailing Address - Zip Code:52754-9215
Mailing Address - Country:US
Mailing Address - Phone:563-272-1399
Mailing Address - Fax:563-272-1399
Practice Address - Street 1:3800 GRANDVIEW AVENUE
Practice Address - Street 2:
Practice Address - City:MUSCATINE
Practice Address - State:IA
Practice Address - Zip Code:52761
Practice Address - Country:US
Practice Address - Phone:563-272-1399
Practice Address - Fax:563-272-1399
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-10
Last Update Date:2012-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007516111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor