Ross, Jason Robert

Ross, Jason Robert is an individual health care provider with primary practice located at 8020 Constitution Pl Ne Ste 202 , Albuquerque NM 87110-7640. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Ross, Jason Robert can be contacted via phone (505) 998-3096.

Contact Information

Primary practice address
8020 Constitution Pl Ne Ste 202 Albuquerque NM 87110-7640
Phone: (505) 998-3096
Fax: (505) 998-3100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD2022-0132 New Mexico
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD2022-0132 New Mexico

Profile Details

NPI number 1528300555
LBN Legal business name Ross, Jason Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2013
Last updated Mar 8th, 2022 - 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 1528300555 NPPES
New Mexico MEDICAID 77953029

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