Vanauken, Jason

Vanauken, Jason is an individual health care provider with primary practice located at 1498 Hudson Bridge Rd , Stockbridge GA 30281-5018. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Vanauken, Jason can be contacted via phone (678) 289-0525.

Contact Information

Primary practice address
1498 Hudson Bridge Rd Stockbridge GA 30281-5018
Phone: (678) 289-0525
Fax: (678) 289-0529
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X GA006800 Georgia

Profile Details

NPI number 1699854471
LBN Legal business name Vanauken, Jason
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Jul 18th, 2012 - about 14 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 1699854471 NPPES
Georgia Other GA006800 STATE LISC NUMBER

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