JASON ALLEN SOUSA (NPI# 1558439398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558439398 |
| Entity Type | Individual |
| Full Name | JASON ALLEN SOUSA |
| Credential | DC |
| Practice Address |
1127 Tolland Turnpike Suite 102 Manchester CO 06042 |
| Practice Telephone | 8604327432 |
| Practice Fax Number | 8604329049 |
| Mailing Telephone | 8604327432 |
| Mailing Fax Number | 8604329049 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2008-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 001722 | CT | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | CR1692 | ME | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GROUP MEDICARE | C03898 | 01 | |
| ME | LICENSE | CR1692 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699043794 | Jason Sousa | Case Manager/Care Coordinator | 12 Plymouth St Apt 2, New Bedford, MA 02740-2255 | 2011-12-05 |
| Street Address |
1127 TOLLAND TURNPIKE SUITE 102 |
| City | MANCHESTER |
| State | CO |
| Zip Code | 06042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306022496 | Prohealth Chiropractic Center, LLC | Chiropractor | 1127 Tolland Turnpike, Suite 102, Manchester, CT 06042 | 2008-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275000960 | Nicole Berger | Behavioral Analyst | 199 Tudor Lane, Apartment E, Manchester, CT 06042 | 2018-10-31 |
| 1902336522 | Karen Scandura | Pharmacist | 260 North Main Street, Manchester, CT 06042 | 2017-06-15 |
| 1053727479 | Sph3enterprise, LLC | Dentist | 194 Buckland Hills Drive, Manchester, CT 06042 | 2014-07-07 |
| 1962657288 | Anthony Michael Gioscia | Optometrist | 344v Buckland Hills Dr, Manchester, CT 06042 | 2008-12-01 |
| 1467635714 | Linda Fernald Gates | Dietitian, Registered | 300 Parker St, Manchester, CT 06042 | 2007-12-10 |
| 1669513909 | Carlos Alfonso Gonzalez | Psychiatry & Neurology | 317 North Main Street, C/o Ccgc, Manchester, CT 06042 | 2007-02-09 |
| 1942350467 | Lise G. O'neill | Counselor | Manchester Memorial Hospital, 71 Haynes St, Manchester, CT 06042 | 2007-01-10 |
| 1245332444 | Sharon Soria | Dentist | 192 Main Street, Manchester, TN 06042 | 2006-09-01 |
| 1699732206 | First Choice Health Centers, Inc. | Clinic/Center | 150 N Main St Ste 240, Manchester, CT 06042 | 2006-04-27 |
| 1316926355 | Robert G Stoker | Chiropractor | 375 Oakland St, Manchester, CT 06042 | 2006-01-10 |
| Find all providers in zip 06042 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821651043 | Carlton Brandon Long | Chiropractor | 302 S Woodland St, Manchester, TN 37355-1761 | 2019-04-15 |
| 1154893832 | Hs1 LLC | Chiropractor | 545 Hooksett Rd Unit 20, Manchester, NH 03104-2654 | 2018-12-19 |
| 1306332556 | Mitchell Aaron Crema | Chiropractor | 909 W Main St Ste 2, Manchester, IA 52057-1506 | 2018-07-10 |
| 1407340672 | Bazzani Chiropractic Manchester, LLC | Chiropractor | 1361 Elm St Ste 104, Manchester, NH 03101-1315 | 2018-06-20 |
| 1578062899 | Pride Health Corp | Chiropractor | 431 Lafayette Ctr, Manchester, MO 63011-3943 | 2018-02-02 |
| 1306394754 | Yojana Shahi | Chiropractor | 117 Tudor Ln Apt J, Manchester, CT 06042-8212 | 2016-09-14 |
| 1407304009 | Mary Macnicol | Chiropractor | 331 Harvard St, #2, Manchester, NH 03103-5528 | 2016-09-13 |
| 1528405198 | Manchester Spine Center, LLC | Chiropractor | 364 E Center St, Manchester, CT 06040-4440 | 2013-05-23 |
| 1639424716 | Ryan Frederick Theen | Chiropractor | 13861 Manchester Rd, Manchester, MO 63011-4503 | 2012-07-16 |
| 1376873133 | Kristen Mae Goldner | Chiropractor | 765 S Main St Ste 201, Manchester, NH 03102-5141 | 2009-12-30 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 06042 |
Please comment or provide details below to improve the information on JASON ALLEN SOUSA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.