Cunningham, Jason Lamar

Cunningham, Jason Lamar is an sole proprietor health care provider with primary practice located at 703 N Veterans Blvd , Glennville GA 30427-2208. He recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as his primary health care specialty. Cunningham, Jason Lamar can be contacted via phone (912) 654-3031.

Contact Information

Primary practice address
703 N Veterans Blvd Glennville GA 30427-2208
Fax: (912) 654-1779
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X 380101061157017 Georgia

Profile Details

NPI number 1477144301
LBN Legal business name Cunningham, Jason Lamar
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2021
Last updated Feb 2nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1477144301 NPPES
Georgia Other 3801-0106-1157-017 CPHT CERT. #

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