Jahn, Jason
Jahn, Jason is an sole proprietor health care provider with primary practice located at 1208 22Nd Ave S , Brookings SD 57006-2804. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Jahn, Jason can be contacted via phone (605) 692-2020.Contact Information
Primary practice address
1208 22Nd Ave S
Brookings SD 57006-2804
Phone: (605) 692-2020
Fax: (605) 692-9594
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 142 | South Dakota |
Profile Details
| NPI number | 1609861608 |
|---|---|
| LBN Legal business name | Jahn, Jason |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 15th, 2005 |
| Last updated | Feb 17th, 2020 - about 5 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 | 1609861608 | NPPES |
| South Dakota | Other | 22104 | SIOUX VALLEY HEALTH |
| South Dakota | Other | 0073102 | SIOUX VALLEY HEALTH |
| South Dakota | Other | 4C035JA | SIOUX VALLEY HEALTH |
| South Dakota | Other | P00815934 | SIOUX VALLEY HEALTH |
| South Dakota | MEDICAID | 9280170 | SIOUX VALLEY HEALTH |
| South Dakota | Other | 419 | SIOUX VALLEY HEALTH |
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