Back, Jason

Back, Jason is an sole proprietor health care provider with primary practice located at 750 E Adams St , Syracuse NY 13210-2342. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Back, Jason can be contacted via phone (315) 464-5136.

Contact Information

Primary practice address
750 E Adams St Syracuse NY 13210-2342
Phone: (315) 464-5136
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X New York

Profile Details

NPI number 1376881003
LBN Legal business name Back, Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2013
Last updated Jan 31st, 2013 - about 13 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.

Request for update

Popular Providers