Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jason Michael Fullmer, DC

Individual provider Chiropractor · NPI 1417985227

Dr. Jason Michael Fullmer, DC is a Chiropractic in Harrisburg, Pennsylvania. Graduated from Life Chiropractic College - West in 2005, 21 years ago. Accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
21
Trained at
Life Chiropractic College - West
Licensed in
PA
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

21 N 4th St
Harrisburg, PA 17101
Phone: (717) 233-3476
Fax: (717) 796-2409
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 009494 (PA)

Record details

NPI number1417985227
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedJune 29, 2006
Last updated in NPPESJuly 8, 2007
Mailing address463 Delancey Court, Mechanicsburg, PA 17055

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Also practisesPHYSICAL MEDICINE AND REHABILITATION
Medical schoolLIFE CHIROPRACTIC COLLEGE - WEST
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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