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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093778185 | NPPES |
| Michigan | Other | P00256268 | RAILROAD MEDICARE |
| Michigan | MEDICAID | 1093778185 | RAILROAD MEDICARE |
| Michigan | Other | 5731169 | RAILROAD MEDICARE |
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