Cozby, Jason Richard
Cozby, Jason Richard is an sole proprietor health care provider with primary practice located at 1605 Hope St Ste 100, South Pasadena CA 91030-2647. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Cozby, Jason Richard can be contacted via phone (562) 505-6308.Contact Information
Primary practice address
1605 Hope St Ste 100
South Pasadena CA 91030-2647
Phone: (562) 505-6308
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | PT26365 | California |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT26365 | California |
Profile Details
| NPI number | 1366555484 |
|---|---|
| LBN Legal business name | Cozby, Jason Richard |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 15th, 2006 |
| Last updated | Apr 24th, 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 | 1366555484 | NPPES |
| California | Other | OPT263650 | BLUE SHIELD |
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