Amadeo, Jason Paul

Amadeo, Jason Paul is an sole proprietor health care provider with primary practice located at 1201 S Clearview Pkwy , Jefferson LA 70121-1015. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Amadeo, Jason Paul can be contacted via phone (504) 736-4800.

Contact Information

Primary practice address
1201 S Clearview Pkwy Jefferson LA 70121-1015
Phone: (504) 736-4800
Fax: (504) 736-4810
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA.200450 Louisiana

Profile Details

NPI number 1992091557
LBN Legal business name Amadeo, Jason Paul
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2011
Last updated Mar 2nd, 2023 - about 2 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 1992091557 NPPES
Louisiana MEDICAID 2165607

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