Arnold, Jason Glen
Arnold, Jason Glen is an individual health care provider with primary practice located at 2400 Bellevue Rd Ste 21A , Dublin GA 31021-2890. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Arnold, Jason Glen can be contacted via phone (478) 328-0281.Contact Information
Primary practice address
2400 Bellevue Rd Ste 21A
Dublin GA 31021-2890
Phone: (478) 328-0281
Fax: (478) 328-1433
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 58569 | Georgia |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 58569 | Georgia |
Profile Details
| NPI number | 1558355693 |
|---|---|
| LBN Legal business name | Arnold, Jason Glen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2005 |
| Last updated | Apr 12th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558355693 | NPPES |
| Georgia | MEDICAID | 966935933 |
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