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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871856302 | NPPES |
| Tennessee | MEDICAID | 3301090 |
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