Ghodasra, Jason
Ghodasra, Jason is an individual health care provider with primary practice located at 1870 Silver Cross Blvd Ste 200 , New Lenox IL 60451-8646. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Ghodasra, Jason can be contacted via phone (815) 462-3474.Contact Information
Primary practice address
1870 Silver Cross Blvd Ste 200
New Lenox IL 60451-8646
Phone: (815) 462-3474
Fax: (815) 462-1032
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 036-150218 | Illinois |
Profile Details
| NPI number | 1316280159 |
|---|---|
| LBN Legal business name | Ghodasra, Jason |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2013 |
| Last updated | Dec 14th, 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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