Corless, Jason M

Corless, Jason M is an individual health care provider with primary practice located at 4881 Sugar Maple Dr , Wpafb OH 45433-5529. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Corless, Jason M can be contacted via phone (937) 257-2432.

Contact Information

Primary practice address
4881 Sugar Maple Dr Wpafb OH 45433-5529
Phone: (937) 257-2432
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 34.016171 Ohio

Profile Details

NPI number 1356935654
LBN Legal business name Corless, Jason M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2021
Last updated Jun 17th, 2024 - about 2 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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