Fort, Jason

Fort, Jason is an sole proprietor health care provider with primary practice located at 2778 E Superior Rd , San Tan Valley AZ 85143-4573. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as his primary health care specialty. Fort, Jason can be contacted via phone (480) 313-9045.

Contact Information

Primary practice address
2778 E Superior Rd San Tan Valley AZ 85143-4573
Phone: (480) 313-9045
Fax: (480) 987-2186
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X 454110172 Oregon
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X L18709787 Arizona

Profile Details

NPI number 1417228909
LBN Legal business name Fort, Jason
Credentials CST/CSA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2012
Last updated Aug 12th, 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.

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