Davison, Jason A

Davison, Jason A is an sole proprietor health care provider with primary practice located at 2 Good Samaritan Way Suite 220, Mount Vernon IL 62864-2408. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Davison, Jason A can be contacted via phone (618) 899-3900.

Contact Information

Primary practice address
2 Good Samaritan Way Suite 220 Mount Vernon IL 62864-2408
Phone: (618) 899-3900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 209009423 Illinois

Profile Details

NPI number 1871867465
LBN Legal business name Davison, Jason A
Credentials NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 29th, 2012
Last updated Oct 29th, 2020 - about 4 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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