Dr. Jason Blandon Cunningham, D.C.
Chiropractor in Oswego, NY. Individual provider (NPI-1).
NPI number1215078035
StatusActive
Last updated in NPPESDec 22, 2010
Details
- NPI
- 1215078035
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jason Blandon Cunningham
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 12, 2007
- Last updated
- Dec 22, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | X011473 | NY | Yes |
| 111N00000X | Chiropractor | CH8574 | FL |
Practice location
89 W Bridge StOswego, NY 13126-2144
Phone 315-383-9614
Mailing address
89 W Bridge StOswego, NY 13126-2144
Phone 315-383-9614
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