Maxa, Jason

Maxa, Jason is an individual health care provider with primary practice located at 900 Cooper Ave Suite 3100, Saginaw MI 48602-5182. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Maxa, Jason can be contacted via phone (989) 583-7450.

Contact Information

Primary practice address
900 Cooper Ave Suite 3100 Saginaw MI 48602-5182
Phone: (989) 583-7450
Fax: (989) 583-7452
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5601004158 Michigan

Profile Details

NPI number 1093778185
LBN Legal business name Maxa, Jason
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Jul 14th, 2014 - about 11 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 1093778185 NPPES
Michigan Other P00256268 RAILROAD MEDICARE
Michigan MEDICAID 1093778185 RAILROAD MEDICARE
Michigan Other 5731169 RAILROAD MEDICARE

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