Allen, Jason Marshall

Allen, Jason Marshall is an individual health care provider with primary practice located at 1400 E Boulder St , Colorado Springs CO 80909-5533. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Allen, Jason Marshall can be contacted via phone (719) 365-5853.

Contact Information

Primary practice address
1400 E Boulder St Colorado Springs CO 80909-5533
Fax: (719) 365-1048
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X DR.0054989 Colorado

Profile Details

NPI number 1184845539
LBN Legal business name Allen, Jason Marshall
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Jun 17th, 2016 - about 8 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 1184845539 NPPES
Colorado MEDICAID 94920869

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