Edsall, Jason W

Edsall, Jason W is an individual health care provider with primary practice located at 830 Rockford St Emergency Department, Mt Airy NC 27030-5322. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Edsall, Jason W can be contacted via phone (336) 786-6068.

Contact Information

Primary practice address
830 Rockford St Emergency Department Mt Airy NC 27030-5322
Phone: (336) 786-6068
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X North Carolina

Profile Details

NPI number 1932184462
LBN Legal business name Edsall, Jason W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Jul 8th, 2007 - about 18 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 1932184462 NPPES
North Carolina MEDICAID 891356E6

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