Davis, Jason

Davis, Jason is an individual health care provider with primary practice located at 267 N Canyon Dr , Gooding ID 83330-5500. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Davis, Jason can be contacted via phone (208) 934-4446.

Contact Information

Primary practice address
267 N Canyon Dr Gooding ID 83330-5500
Phone: (208) 934-4446
Fax: (208) 934-4442
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA06785 Texas

Profile Details

NPI number 1003127374
LBN Legal business name Davis, Jason
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2010
Last updated Aug 26th, 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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