Delong, Jason E

Delong, Jason E is an individual health care provider with primary practice located at 404 Shoppers Dr , Winchester KY 40391-1378. 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. Delong, Jason E can be contacted via phone (859) 737-5333.

Contact Information

Primary practice address
404 Shoppers Dr Winchester KY 40391-1378
Phone: (859) 737-5333
Fax: (859) 737-0070
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA585 Kentucky

Profile Details

NPI number 1962592972
LBN Legal business name Delong, Jason E
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Jul 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962592972 NPPES
Kentucky Other 000000324312 ANTHEM BCBS PROVIDER ID
Kentucky MEDICAID 95004339 ANTHEM BCBS PROVIDER ID
Kentucky Other 7941229 ANTHEM BCBS PROVIDER ID

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