Craft, Jason A

Craft, Jason A is an individual health care provider with primary practice located at 1325 E Fortification St , Jackson MS 39202-2442. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Craft, Jason A can be contacted via phone (601) 354-4488.

Contact Information

Primary practice address
1325 E Fortification St Jackson MS 39202-2442
Phone: (601) 354-4488
Fax: (601) 960-4586
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 19184 Mississippi

Profile Details

NPI number 1184753485
LBN Legal business name Craft, Jason A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2007
Last updated Feb 11th, 2013 - about 12 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 1184753485 NPPES
Mississippi Other 1184753485 NPI
Mississippi Other 512G700003 NPI
Mississippi MEDICAID 00624501 NPI
Mississippi Other P00619788 NPI
Mississippi Other 512I200016 NPI
Mississippi Other P00621369 NPI

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