Sullivan, Jason Murray

Sullivan, Jason Murray is an individual health care provider with primary practice located at 668 Skyline Dr , Jackson TN 38301-3951. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Sullivan, Jason Murray can be contacted via phone (731) 424-2414.

Contact Information

Primary practice address
668 Skyline Dr Jackson TN 38301-3951
Phone: (731) 424-2414
Fax: (731) 424-4444
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD0031354 Tennessee

Profile Details

NPI number 1528047586
LBN Legal business name Sullivan, Jason Murray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Nov 15th, 2007 - about 18 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 1528047586 NPPES
Tennessee MEDICAID 3838587

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