Cossey, Jason Lee

Cossey, Jason Lee is an individual health care provider with primary practice located at 1450 Matthews Township Pkwy Ste 380 , Matthews NC 28105. 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. Cossey, Jason Lee can be contacted via phone (704) 384-9200.

Contact Information

Primary practice address
1450 Matthews Township Pkwy Ste 380 Matthews NC 28105
Phone: (704) 384-9200
Fax: (704) 384-6588
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 008285 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-06364 North Carolina

Profile Details

NPI number 1497849939
LBN Legal business name Cossey, Jason Lee
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Oct 26th, 2020 - about 5 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 1497849939 NPPES
New York MEDICAID 02565520

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