Fried, Jason
Fried, Jason is an sole proprietor health care provider with primary practice located at 6847 N Chestnut St Ste 100 , Ravenna OH 44266-3929. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Fried, Jason can be contacted via phone (330) 235-7434.Contact Information
Primary practice address
6847 N Chestnut St Ste 100
Ravenna OH 44266-3929
Phone: (330) 235-7434
Fax: (330) 235-7436
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 34007188 | Ohio |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 34007188 | Ohio |
Profile Details
NPI number | 1275575201 |
---|---|
LBN Legal business name | Fried, Jason |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 12th, 2006 |
Last updated | Dec 23rd, 2020 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1275575201 | NPPES |
Ohio | MEDICAID | 2417263 |
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