Carman, Jason A
Carman, Jason A is an individual health care provider with primary practice located at 360 Station Dr , Crystal Lake IL 60014. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Carman, Jason A can be contacted via phone (815) 338-6600.Contact Information
Primary practice address
360 Station Dr
Crystal Lake IL 60014
Phone: (815) 338-6600
Fax: (815) 455-8044
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 209000227 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209000227 | Illinois |
Profile Details
NPI number | 1174522825 |
---|---|
LBN Legal business name | Carman, Jason A |
Credentials | DNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 15th, 2005 |
Last updated | Nov 2nd, 2018 - about 6 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 | 1174522825 | NPPES |
Illinois | Other | 209000227 | STATE LICENSE |
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