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
Fax: (330) 235-7436
Website:

Health care specialties

SpecialtyCodeLicense #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 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275575201 NPPES
Ohio MEDICAID 2417263

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