Daniel, Jason M

Daniel, Jason M is an individual health care provider with primary practice located at 956 Montclair Road Suite 101, Birmingham AL 35213. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Daniel, Jason M can be contacted via phone (205) 949-0099.

Contact Information

Primary practice address
956 Montclair Road Suite 101 Birmingham AL 35213
Phone: (205) 949-0099
Fax: (205) 949-0363
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 1582C Alabama

Profile Details

NPI number 1144276809
LBN Legal business name Daniel, Jason M
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144276809 NPPES
Alabama Other 51528352 BCBS
Alabama Other 51529631 BCBS

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