Bowersock, Jason D.
Bowersock, Jason D. is an individual health care provider with primary practice located at 830 W High St Suite 360, Lima OH 45801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bowersock, Jason D. can be contacted via phone (419) 227-7117.Contact Information
Primary practice address
830 W High St Suite 360
Lima OH 45801
Phone: (419) 227-7117
Fax: (419) 227-2848
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35089145 | Ohio |
Profile Details
| NPI number | 1396961983 |
|---|---|
| LBN Legal business name | Bowersock, Jason D. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2007 |
| Last updated | May 30th, 2018 - about 8 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 | 1396961983 | NPPES |
| Ohio | MEDICAID | 2737417 |
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