Courseault, Jaeson K.
Courseault, Jaeson K. is an sole proprietor health care provider with primary practice located at 3939 Lavista Rd Ste. E274, Atlanta GA 30345. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Courseault, Jaeson K. can be contacted via phone (404) 500-7224.Contact Information
Primary practice address
3939 Lavista Rd Ste. E274
Atlanta GA 30345
Phone: (404) 500-7224
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | Q5992 | Texas |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 86941 | Georgia |
Profile Details
| NPI number | 1609137140 |
|---|---|
| LBN Legal business name | Courseault, Jaeson K. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 31st, 2012 |
| Last updated | Sep 13th, 2021 - about 3 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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