Faulkenberry, Jason Grey

Faulkenberry, Jason Grey is an individual health care provider with primary practice located at 3401 Civic Center Blvd Department Of Biomedical And Health Informatics, Philadelphia PA 19104. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Faulkenberry, Jason Grey can be contacted via phone (267) 425-1663.

Contact Information

Primary practice address
3401 Civic Center Blvd Department Of Biomedical And Health Informatics Philadelphia PA 19104
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD466580 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD466580 Pennsylvania

Profile Details

NPI number 1912226580
LBN Legal business name Faulkenberry, Jason Grey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2010
Last updated Feb 18th, 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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