Dausman, Jason Darrell
Dausman, Jason Darrell is an individual health care provider with primary practice located at 621 S New Ballas Rd Ste 112A , Saint Louis MO 63141-8252. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Dausman, Jason Darrell can be contacted via phone (314) 251-6339.Contact Information
Primary practice address
621 S New Ballas Rd Ste 112A
Saint Louis MO 63141-8252
Phone: (314) 251-6339
Fax: (314) 251-4564
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2008022454 | Missouri |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 2008022454 | Missouri |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2008022454 | Missouri |
Profile Details
| NPI number | 1235187899 |
|---|---|
| LBN Legal business name | Dausman, Jason Darrell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Jul 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235187899 | NPPES |
| Illinois | MEDICAID | 1235187899 | |
| Illinois | MEDICAID | 1235187899 |
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