Mammino, Jason Ryan
Mammino, Jason Ryan is an sole proprietor health care provider with primary practice located at 4344 Woodlands Blvd Ste 160 , Castle Rock CO 80104-2801. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Mammino, Jason Ryan can be contacted via phone (303) 350-4500.Contact Information
Primary practice address
4344 Woodlands Blvd Ste 160
Castle Rock CO 80104-2801
Phone: (303) 350-4500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 0066760 | Colorado |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1548757073 |
|---|---|
| LBN Legal business name | Mammino, Jason Ryan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 19th, 2018 |
| Last updated | May 1st, 2023 - about 3 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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