Pickett, Jason Raine

Pickett, Jason Raine is an individual health care provider with primary practice located at 4201 Ed Bluestein Blvd , Austin TX 78721-2909. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine, Emergency Medical Service Providers / Emergency Medical Technician, Paramedic. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Pickett, Jason Raine can be contacted via phone (512) 978-0000.

Contact Information

Primary practice address
4201 Ed Bluestein Blvd Austin TX 78721-2909
Phone: (512) 978-0000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 35.089152 Ohio
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 13823854-1205 Utah
Emergency Medical Service Providers / Emergency Medical Technician, Paramedic 146L00000X P0948731 Ohio
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 27856 West Virginia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35.089152 Ohio
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X R4766 Texas

Profile Details

NPI number 1679624043
LBN Legal business name Pickett, Jason Raine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2007
Last updated Apr 11th, 2024 - about 2 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 1679624043 NPPES
Ohio MEDICAID 272983

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