Pope, Jason Edward
Pope, Jason Edward is an individual health care provider with primary practice located at 220 Concourse Blvd , Santa Rosa CA 95403-8210. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Pope, Jason Edward can be contacted via phone (844) 527-7369.Contact Information
Primary practice address
220 Concourse Blvd
Santa Rosa CA 95403-8210
Phone: (844) 527-7369
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 41564 | Tennessee |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 25047 | West Virginia |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 114663 | California |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | A114663 | California |
Profile Details
| NPI number | 1215078647 |
|---|---|
| LBN Legal business name | Pope, Jason Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2007 |
| Last updated | Jun 22nd, 2022 - about 4 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 | 1215078647 | NPPES |
| California | MEDICAID | 1821509T |
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