Douglas, Jason

Douglas, Jason is an sole proprietor health care provider with primary practice located at 180 S Main St , Canton IL 61520-2608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Douglas, Jason can be contacted via phone (309) 647-0201.

Contact Information

Primary practice address
180 S Main St Canton IL 61520-2608
Phone: (309) 647-0201
Fax: (309) 649-6880
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301101431 Michigan
Allopathic & Osteopathic Physicians / Surgery 208600000X 036150263 Illinois

Profile Details

NPI number 1598020174
LBN Legal business name Douglas, Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2012
Last updated Apr 14th, 2021 - 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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