Bovair, Jason

Bovair, Jason is an sole proprietor health care provider with primary practice located at 23 North Rd , South Glens Falls NY 12803-5354. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Bovair, Jason can be contacted via phone (518) 792-7412.

Contact Information

Primary practice address
23 North Rd South Glens Falls NY 12803-5354
Phone: (518) 792-7412
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 00253608 New York

Profile Details

NPI number 1477648590
LBN Legal business name Bovair, Jason
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated Jul 9th, 2007 - about 17 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 1477648590 NPPES
New York MEDICAID 02291770

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