Conaughty, Jason Martin
Conaughty, Jason Martin is an individual health care provider with primary practice located at 225 Crosslake Dr , Evansville IN 47715-8198. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Conaughty, Jason Martin can be contacted via phone (812) 477-1558.Contact Information
Primary practice address
225 Crosslake Dr
Evansville IN 47715-8198
Phone: (812) 477-1558
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | 01081103A | Indiana |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 01081103A | Indiana |
Profile Details
| NPI number | 1962449389 |
|---|---|
| LBN Legal business name | Conaughty, Jason Martin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Mar 22nd, 2022 - about 4 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 | 1962449389 | NPPES |
| Oregon | Other | P00890807 | RAIL ROAD MEDICARE |
| Oregon | Other | P01007268 | RAIL ROAD MEDICARE |
| Oregon | MEDICAID | 500623245 | RAIL ROAD MEDICARE |
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