Roberto, Jason

Roberto, Jason is an individual health care provider with primary practice located at 1420 N Monroe St , Monroe MI 48162-4211. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Roberto, Jason can be contacted via phone (734) 240-8480.

Contact Information

Primary practice address
1420 N Monroe St Monroe MI 48162-4211
Phone: (734) 240-8480
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5315089057 Michigan

Profile Details

NPI number 1215446158
LBN Legal business name Roberto, Jason
Credentials PA-C, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2017
Last updated Nov 3rd, 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 1215446158 NPPES
Michigan MEDICAID 1215446158

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