Doctor Name: | MR. JASON PETER MOHACEY |
NPI Number: | 1104805894 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSPT |
License Number: | PT017504 |
Business Practice Address: | 32695 Long Neck Rd Bldg. 1 Unit 3 Millsboro, DE - 199666693 |
Business Phone Number: | 3029455300 |
Business Fax Number: | 3029455700 |
Mailing Address: | 32695 Long Neck Rd, Bldg. 1 Unit 3 MILLSBORO |
State: | DE |
Postal Code: | 199666693 |
Phone Number: | 3029455300 |
Fax Number: | 3029455700 |
NPI Enumeration Date: | 01/11/2006 |
NPI Last Update Date: | 01/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | PT017504 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |