Carter, Jason Andrew

Carter, Jason Andrew is an individual health care provider with primary practice located at 1405 4Th Ave Nw Ste 96 , Ardmore OK 73401-2708. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Carter, Jason Andrew can be contacted via phone (417) 612-3985.

Contact Information

Primary practice address
1405 4Th Ave Nw Ste 96 Ardmore OK 73401-2708
Phone: (417) 612-3985
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4301090607 Michigan
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2011001438 Missouri
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 2011001438 Missouri
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X Q0887 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 32576 Oklahoma

Profile Details

NPI number 1376712935
LBN Legal business name Carter, Jason Andrew
Credentials MD, MHSA, FACEP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2008
Last updated Nov 3rd, 2016 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376712935 NPPES
Missouri MEDICAID 1376712935
Missouri Other O00955428
Missouri Other 440552485

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