Koo, Jason T
Koo, Jason T is an individual health care provider with primary practice located at 13249 Cascade Glen Dr , Draper UT 84020-7146. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Koo, Jason T can be contacted via phone (801) 572-5226.Contact Information
Primary practice address
13249 Cascade Glen Dr
Draper UT 84020-7146
Phone: (801) 572-5226
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | M1188 | Texas |
Profile Details
| NPI number | 1720005317 |
|---|---|
| LBN Legal business name | Koo, Jason T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Jul 5th, 2010 - about 16 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 | 1720005317 | NPPES |
| Texas | MEDICAID | 173049102 |
Popular Providers
-
Martin, Lynn T
1836 South Ave , La Crosse WI 54601-5429 -
Knight, Daniel R
2533 Bert Kouns Industrial Loop Ste 106 , Shreveport LA 71118-3158 -
Potenza, Mark S
5700 W Genesee St Ste 132, Camillus NY 13031-3212 -
Benacci, Joseph C
1836 South Ave , La Crosse WI 54601-5429 -
Van Aalst-Barker, Vera C
901 Dupont Rd Ste 202, Louisville KY 40207-4644 -
Banis, Joseph C.
2507 Bush Ridge Dr Ste B , Louisville KY 40245-5885 -
Nassour, Herbert J.
3804 S Jackson Rd Ste 1 , Edinburg TX 78539-6681 -
Carlino, Richard Edward
3633 Harden Rd Ste 200, Raleigh NC 27607-3369