Oliphant, Jason Lee

Oliphant, Jason Lee is an individual health care provider with primary practice located at 1211 Union Ave Suite 200, Memphis TN 38104-6638. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Oliphant, Jason Lee can be contacted via phone (901) 260-8551.

Contact Information

Primary practice address
1211 Union Ave Suite 200 Memphis TN 38104-6638
Phone: (901) 260-8551
Fax: (901) 260-8590
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301088440 Michigan
Allopathic & Osteopathic Physicians / Surgery 208600000X 47275 Tennessee

Profile Details

NPI number 1942417134
LBN Legal business name Oliphant, Jason Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Mar 12th, 2012 - about 14 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 1942417134 NPPES
Tennessee MEDICAID 1523676

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