Arnold, Jason Glen

Arnold, Jason Glen is an individual health care provider with primary practice located at 2400 Bellevue Rd Ste 21A , Dublin GA 31021-2890. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Arnold, Jason Glen can be contacted via phone (478) 328-0281.

Contact Information

Primary practice address
2400 Bellevue Rd Ste 21A Dublin GA 31021-2890
Phone: (478) 328-0281
Fax: (478) 328-1433
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 58569 Georgia
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 58569 Georgia

Profile Details

NPI number 1558355693
LBN Legal business name Arnold, Jason Glen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Apr 12th, 2017 - about 7 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 1558355693 NPPES
Georgia MEDICAID 966935933

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