Coomer, Jason Ryan

Coomer, Jason Ryan is an individual health care provider with primary practice located at 203 S Dixie Hwy , Cave City KY 42127-8866. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Coomer, Jason Ryan can be contacted via phone (270) 773-3943.

Contact Information

Primary practice address
203 S Dixie Hwy Cave City KY 42127-8866
Phone: (270) 773-3943
Fax: (270) 773-3944
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7869 Kentucky

Profile Details

NPI number 1396897138
LBN Legal business name Coomer, Jason Ryan
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1396897138 NPPES
Kentucky MEDICAID 60001435

Popular Providers