Dean, Michael Jason
Dean, Michael Jason is an individual health care provider with primary practice located at 1400 Presidents Landing Dr , O Fallon MO 63366-8475. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Dean, Michael Jason can be contacted via phone (636) 866-1293.Contact Information
Primary practice address
1400 Presidents Landing Dr
O Fallon MO 63366-8475
Phone: (636) 866-1293
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 53-74934-022 | Kansas |
| Nursing Service Providers / Registered Nurse | 163W00000X | 2000167996 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 2000167996 | Missouri |
Profile Details
| NPI number | 1831167105 |
|---|---|
| LBN Legal business name | Dean, Michael Jason |
| Credentials | RN ANP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 10th, 2006 |
| Last updated | Nov 19th, 2014 - about 12 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 | 1831167105 | NPPES |
| Texas | MEDICAID | 177840901 | |
| Texas | MEDICAID | 200622300A |
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