Rich, Jason L

Rich, Jason L is an sole proprietor health care provider with primary practice located at 485 W Main St , Wilmington OH 45177-2174. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Rich, Jason L can be contacted via phone (866) 934-7450.

Contact Information

Primary practice address
485 W Main St Wilmington OH 45177-2174
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35081549 Ohio
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 35.081549CTR Ohio

Profile Details

NPI number 1003815689
LBN Legal business name Rich, Jason L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2005
Last updated May 10th, 2023 - about 3 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 1003815689 NPPES
Ohio MEDICAID 2389106
Ohio MEDICAID 420977

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