Rolls, Jason Andrew
Rolls, Jason Andrew is an sole proprietor health care provider with primary practice located at 4160 John R St Suite 615, Detroit MI 48201-2020. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Rolls, Jason Andrew can be contacted via phone (313) 745-4195.Contact Information
Primary practice address
4160 John R St Suite 615
Detroit MI 48201-2020
Phone: (313) 745-4195
Fax: (313) 993-8669
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | 4301099790 | Michigan |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 4301099790 | Michigan |
Profile Details
| NPI number | 1245497478 |
|---|---|
| LBN Legal business name | Rolls, Jason Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2008 |
| Last updated | Jun 9th, 2017 - about 9 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 | 1245497478 | NPPES |
| Michigan | MEDICAID | 1245497478 |
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