Herndon, Jason Michael

Herndon, Jason Michael is an individual health care provider with primary practice located at 2345 Murfreesboro Hwy , Manchester TN 37355-3206. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Herndon, Jason Michael can be contacted via phone (931) 728-5607.

Contact Information

Primary practice address
2345 Murfreesboro Hwy Manchester TN 37355-3206
Phone: (931) 728-5607
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X LL34897 South Carolina
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X PMC0000000910 Tennessee

Profile Details

NPI number 1871856302
LBN Legal business name Herndon, Jason Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2012
Last updated Aug 11th, 2022 - about 3 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 1871856302 NPPES
Tennessee MEDICAID 3301090

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