Charles, Jason

Charles, Jason is an sole proprietor health care provider with primary practice located at 1324 Forest Ave Ste 125, Staten Island NY 10302-2044. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Charles, Jason can be contacted via phone (646) 838-1729.

Contact Information

Primary practice address
1324 Forest Ave Ste 125 Staten Island NY 10302-2044
Phone: (646) 838-1729
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 18KT00810300 New Jersey
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 030754 New York

Profile Details

NPI number 1457707226
LBN Legal business name Charles, Jason
Credentials LMT, LMBT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2016
Last updated Oct 21st, 2017 - about 7 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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