Jasa, Joel D

Jasa, Joel D is an individual health care provider with primary practice located at 620 N Diers Ave Ste. 200, Grand Island NE 68803-4984. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Jasa, Joel D can be contacted via phone (308) 384-5400.

Contact Information

Primary practice address
620 N Diers Ave Ste. 200 Grand Island NE 68803-4984
Phone: (308) 384-5400
Fax: (308) 384-5201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1856 Nebraska

Profile Details

NPI number 1982923868
LBN Legal business name Jasa, Joel D
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2010
Last updated Oct 23rd, 2014 - about 12 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 1982923868 NPPES
Nebraska MEDICAID 47054564512

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