Page, John Jason

Page, John Jason is an individual health care provider with primary practice located at 8288 S Broadway Ave , Tyler TX 75703-5262. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Page, John Jason can be contacted via phone (903) 606-7060.

Contact Information

Primary practice address
8288 S Broadway Ave Tyler TX 75703-5262
Phone: (903) 606-7060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X L9838 Texas

Profile Details

NPI number 1376549246
LBN Legal business name Page, John Jason
Credentials DO, PA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Sep 9th, 2016 - about 9 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 1376549246 NPPES
Texas Other 8FY021 BCBS
Texas Other 752616977118 BCBS
Texas MEDICAID 175657904 BCBS
Texas Other P01681642 BCBS

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