Andrus, Jason D

Andrus, Jason D is an individual health care provider with primary practice located at 1450 Chapel St Hospital Of Saint Raphael, Department Of Surgery, New Haven CT 06511-4405. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Andrus, Jason D can be contacted via phone (203) 789-3501.

Contact Information

Primary practice address
1450 Chapel St Hospital Of Saint Raphael, Department Of Surgery New Haven CT 06511-4405
Phone: (203) 789-3501
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 001011 Connecticut

Profile Details

NPI number 1104808369
LBN Legal business name Andrus, Jason D
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Jul 4th, 2012 - about 13 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 1104808369 NPPES
Other 1104808369 NPI
Other P00461315 NPI

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