Grabrovac, Jason David

Grabrovac, Jason David is an individual health care provider with primary practice located at 1100 Northside Forsyth Dr Suite 340, Cumming GA 30041-6012. 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. Grabrovac, Jason David can be contacted via phone (770) 886-8111.

Contact Information

Primary practice address
1100 Northside Forsyth Dr Suite 340 Cumming GA 30041-6012
Phone: (770) 886-8111
Fax: (770) 205-8539
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 004057 Georgia

Profile Details

NPI number 1023000528
LBN Legal business name Grabrovac, Jason David
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Mar 21st, 2013 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023000528 NPPES
Georgia MEDICAID 174320964C

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