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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477648590 | NPPES |
| New York | MEDICAID | 02291770 |
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