King, Jason Konrad

King, Jason Konrad is an individual health care provider with primary practice located at 2118 25Th St Ste H , Columbus IN 47201-3240. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. King, Jason Konrad can be contacted via phone (812) 378-7474.

Contact Information

Primary practice address
2118 25Th St Ste H Columbus IN 47201-3240
Phone: (812) 378-7474
Fax: (812) 378-7462
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01043977A Indiana

Profile Details

NPI number 1144294125
LBN Legal business name King, Jason Konrad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated May 8th, 2024 - about 2 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 1144294125 NPPES
Indiana MEDICAID 200058330

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