Blocksom, Jason Matthew

Blocksom, Jason Matthew is an individual health care provider with primary practice located at 8402 Harcourt Rd , Indianapolis IN 46260-2074. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Blocksom, Jason Matthew can be contacted via phone (317) 338-6713.

Contact Information

Primary practice address
8402 Harcourt Rd Indianapolis IN 46260-2074
Phone: (317) 338-6713
Fax: (317) 338-6615
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 01068126A Indiana
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 01068126A Indiana

Profile Details

NPI number 1144488495
LBN Legal business name Blocksom, Jason Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2008
Last updated May 25th, 2022 - about 4 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.

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