Thompson, Jason R

Thompson, Jason R is an individual health care provider with primary practice located at 6885 Belfort Oaks Place Ste 210 , Jacksonville FL 32216. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is his primary health care specialty. Thompson, Jason R can be contacted via phone (904) 652-0373.

Contact Information

Primary practice address
6885 Belfort Oaks Place Ste 210 Jacksonville FL 32216
Phone: (904) 652-0373
Fax: (904) 652-0378
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME 72049 Florida
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X ME72049 Florida

Profile Details

NPI number 1306916580
LBN Legal business name Thompson, Jason R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Aug 7th, 2015 - about 11 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 1306916580 NPPES
Florida MEDICAID 261828100

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