Davis, Jason Scott

Davis, Jason Scott is an individual health care provider with primary practice located at 2200 Fort Jesse Rd , Normal IL 61761-6286. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Ultrasound is his primary health care specialty. Davis, Jason Scott can be contacted via phone (309) 664-3491.

Contact Information

Primary practice address
2200 Fort Jesse Rd Normal IL 61761-6286
Phone: (309) 664-3491
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X 036101068 Illinois
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD2018-0966 New Mexico
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 281929 Massachusetts

Profile Details

NPI number 1982639621
LBN Legal business name Davis, Jason Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jan 5th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1982639621 NPPES
Other IL2613 MEDICARE GROUP #

Popular Providers