Morris, Jason Kendell

Morris, Jason Kendell is an individual health care provider with primary practice located at 618 Frederick Dr , Cleveland MS 38732-2006. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Body Imaging is his primary health care specialty. Morris, Jason Kendell can be contacted via phone (662) 299-2999.

Contact Information

Primary practice address
618 Frederick Dr Cleveland MS 38732-2006
Phone: (662) 299-2999
Fax: (662) 846-8989
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X E-0389 Arkansas
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 14181 Mississippi
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X MD.200141 Louisiana
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 049069 Georgia
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 693403 Tennessee
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 14181 Mississippi

Profile Details

NPI number 1790720779
LBN Legal business name Morris, Jason Kendell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Oct 17th, 2013 - about 13 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 1790720779 NPPES
Mississippi MEDICAID 00118193
Mississippi MEDICAID 156472001
Mississippi Other 300126521
Mississippi Other 5M809

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