Holcomb, Jason Omar

Holcomb, Jason Omar is an individual health care provider with primary practice located at 2070 Biddle Ave Suite 200, Wyandotte MI 48192-4080. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Holcomb, Jason Omar can be contacted via phone (734) 225-9100.

Contact Information

Primary practice address
2070 Biddle Ave Suite 200 Wyandotte MI 48192-4080
Phone: (734) 225-9100
Fax: (734) 225-9100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 4301080364 Michigan

Profile Details

NPI number 1740309624
LBN Legal business name Holcomb, Jason Omar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Jun 27th, 2019 - about 6 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 1740309624 NPPES
Michigan Other 0H28427 BLUE CROSS
Michigan Other 1699102244 BLUE CROSS

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