Van-Brunt, Jason Michael

Van-Brunt, Jason Michael is an individual health care provider with primary practice located at 625 Sw Ramsey Ave Suite A, Grants Pass OR 97527-5808. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Van-Brunt, Jason Michael can be contacted via phone (541) 472-7956.

Contact Information

Primary practice address
625 Sw Ramsey Ave Suite A Grants Pass OR 97527-5808
Phone: (541) 472-7956
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA166125 Oregon

Profile Details

NPI number 1619379815
LBN Legal business name Van-Brunt, Jason Michael
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2014
Last updated Sep 18th, 2014 - about 12 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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