Ambrose, Jason R

Ambrose, Jason R is an individual health care provider with primary practice located at 2380 W Arlington Blvd , Greenville NC 27834-2846. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Ambrose, Jason R can be contacted via phone (252) 847-0100.

Contact Information

Primary practice address
2380 W Arlington Blvd Greenville NC 27834-2846
Phone: (252) 847-0100
Fax: (252) 744-0128
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 200300115 North Carolina

Profile Details

NPI number 1538164074
LBN Legal business name Ambrose, Jason R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Sep 30th, 2021 - about 4 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 1538164074 NPPES
North Carolina Other 13306 BCBS NC
North Carolina MEDICAID 8913306 BCBS NC
North Carolina Other P00013099 BCBS NC

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