Glade, Jason S

Glade, Jason S is an individual health care provider with primary practice located at 1268 Lee Boulevard , Richland WA 99352. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Glade, Jason S can be contacted via phone (509) 942-2660.

Contact Information

Primary practice address
1268 Lee Boulevard Richland WA 99352
Phone: (509) 942-2660
Fax: (509) 942-3836
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 309994-4405 Utah
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP30007491 Washington

Profile Details

NPI number 1083634620
LBN Legal business name Glade, Jason S
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Mar 1st, 2021 - about 3 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 1083634620 NPPES
Washington MEDICAID 1083634620
Washington Other 500030524
Washington Other 0335446
Washington Other 30999444000001

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