Fanselau, Jason

Fanselau, Jason is an sole proprietor health care provider with primary practice located at 128 W 13Th St Apt 1011, Kansas City MO 64105-1726. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic, which is considered as his primary health care specialty. Fanselau, Jason can be contacted via phone (972) 489-6170.

Contact Information

Primary practice address
128 W 13Th St Apt 1011 Kansas City MO 64105-1726
Phone: (972) 489-6170
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic 246ZE0600X

Profile Details

NPI number 1942654280
LBN Legal business name Fanselau, Jason
Credentials CNIM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2016
Last updated Apr 22nd, 2016 - about 8 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.

Request for update

Popular Providers