Provider Demographics
NPI:1043406960
Name:BARRITT, JASON WILLIAMS (DC)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:WILLIAMS
Last Name:BARRITT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1015 STATE HIGHWAY 115
Mailing Address - Street 2:SUITE 5
Mailing Address - City:PENROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81240-9399
Mailing Address - Country:US
Mailing Address - Phone:719-372-7070
Mailing Address - Fax:719-372-0909
Practice Address - Street 1:1015 STATE HIGHWAY 115
Practice Address - Street 2:SUITE 5
Practice Address - City:PENROSE
Practice Address - State:CO
Practice Address - Zip Code:81240-9399
Practice Address - Country:US
Practice Address - Phone:719-372-7070
Practice Address - Fax:719-372-0909
Is Sole Proprietor?:No
Enumeration Date:2007-09-25
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4339111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor