Hermreck, Jason D

Hermreck, Jason D is an individual health care provider with primary practice located at 7550 W Village Cir Ste 1 , Wichita KS 67205-9364. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Hermreck, Jason D can be contacted via phone (316) 838-2020.

Contact Information

Primary practice address
7550 W Village Cir Ste 1 Wichita KS 67205-9364
Phone: (316) 838-2020
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1134868342
LBN Legal business name Hermreck, Jason D
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2022
Last updated Jun 11th, 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 1134868342 NPPES
Kansas Other 15-02897 KANSAS PHYSICIAN ASSISTANT LICENSE
Kansas MEDICAID 3000513930001 KANSAS PHYSICIAN ASSISTANT LICENSE

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