Reeves, Jason Daniel
Reeves, Jason Daniel is an individual health care provider with primary practice located at 401 Baptist Dr Suite 306, Madison MS 39110-2009. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Reeves, Jason Daniel can be contacted via phone (601) 607-7204.Contact Information
Primary practice address
401 Baptist Dr Suite 306
Madison MS 39110-2009
Phone: (601) 607-7204
Fax: (601) 607-7430
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | PT4077 | Mississippi |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT4077 | Mississippi |
Profile Details
| NPI number | 1275546103 |
|---|---|
| LBN Legal business name | Reeves, Jason Daniel |
| Credentials | MS,PT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 14th, 2006 |
| Last updated | Mar 15th, 2018 - about 7 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 | 1275546103 | NPPES |
| Mississippi | Other | 7752862 | AETNA |
| Mississippi | Other | PT4077 | AETNA |
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