Sanderson, Jason John
Sanderson, Jason John is an sole proprietor health care provider with primary practice located at 515 Pennsylvania Ave Ste A2Nd , Fort Washington PA 19034-3314. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sanderson, Jason John can be contacted via phone (215) 540-8408.Contact Information
Primary practice address
515 Pennsylvania Ave Ste A2Nd
Fort Washington PA 19034-3314
Phone: (215) 540-8408
Fax: (215) 540-8418
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS012064 | Pennsylvania |
Profile Details
| NPI number | 1760444111 |
|---|---|
| LBN Legal business name | Sanderson, Jason John |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Feb 18th, 2019 - 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 | 1760444111 | NPPES |
| Pennsylvania | MEDICAID | 1031173500001 | |
| Pennsylvania | Other | DT0827 |
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