Provider Demographics
NPI:1720171135
Name:SCHONE, JASON O (DC)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:O
Last Name:SCHONE
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 1:642 BROOKSEDGE BLVD
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081
Mailing Address - Country:US
Mailing Address - Phone:614-890-2740
Mailing Address - Fax:614-890-8320
Practice Address - Street 1:642 BROOKSEDGE BLVD
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081
Practice Address - Country:US
Practice Address - Phone:614-890-2740
Practice Address - Fax:614-890-8320
Is Sole Proprietor?:No
Enumeration Date:2006-09-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3583111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH95655OtherMEDIGOLD
00000377670OtherANTHEM NON PAR NUMBER
P00288761OtherRAILROAD MEDICARE
3000864334003OtherMEDICAL MUTUAL
OH2638668Medicaid
7890644OtherAETNA
OHSC4151662Medicare ID - Type Unspecified
OH2638668Medicaid