Coggins, Jason Macdonald

Coggins, Jason Macdonald is an individual health care provider with primary practice located at 2076 Hwy 42 W , Clayton NC 27520-5302. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Coggins, Jason Macdonald can be contacted via phone (919) 763-1050.

Contact Information

Primary practice address
2076 Hwy 42 W Clayton NC 27520-5302
Fax: (919) 313-1276
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1000284 North Carolina

Profile Details

NPI number 1114905395
LBN Legal business name Coggins, Jason Macdonald
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Mar 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114905395 NPPES
North Carolina Other 2765015 PTAN

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