Baxter, Jason

Baxter, Jason is an individual health care provider with primary practice located at 834 Chestnut St Suite 300, Philadelphia PA 19107-5127. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is his primary health care specialty. Baxter, Jason can be contacted via phone (215) 955-5000.

Contact Information

Primary practice address
834 Chestnut St Suite 300 Philadelphia PA 19107-5127
Fax: (215) 923-1089
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD074179L Pennsylvania
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X MD074179L Pennsylvania

Profile Details

NPI number 1093731184
LBN Legal business name Baxter, Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Feb 28th, 2014 - about 11 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 1093731184 NPPES
Pennsylvania MEDICAID 101346451
Pennsylvania MEDICAID 0072184

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