Wasko, Jonathan S

Wasko, Jonathan S is an individual health care provider with primary practice located at 4815 Liberty Ave Ste 439 , Pittsburgh PA 15224-2156. 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. Wasko, Jonathan S can be contacted via phone (412) 578-3925.

Contact Information

Primary practice address
4815 Liberty Ave Ste 439 Pittsburgh PA 15224-2156
Phone: (412) 578-3925
Fax: (412) 605-6364
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA000944L Pennsylvania

Profile Details

NPI number 1871595611
LBN Legal business name Wasko, Jonathan S
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Oct 23rd, 2017 - about 9 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 1871595611 NPPES
Pennsylvania MEDICAID 103212706

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