Hack, Jason B

Hack, Jason B is an individual health care provider with primary practice located at 2100 Stantonsburg Rd , Greenville NC 27834-2818. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Hack, Jason B can be contacted via phone (252) 744-4757.

Contact Information

Primary practice address
2100 Stantonsburg Rd Greenville NC 27834-2818
Phone: (252) 744-4757
Fax: (252) 744-5014
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD12717 Rhode Island
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 9900860 North Carolina

Profile Details

NPI number 1053303768
LBN Legal business name Hack, Jason B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Feb 13th, 2024 - about 9 months 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 1053303768 NPPES
Rhode Island Other 007060416 RI MEDICARE
Rhode Island MEDICAID JH72236 RI MEDICARE
Rhode Island MEDICAID 2157683 RI MEDICARE
Rhode Island Other 09/11/2008 RI MEDICARE
Rhode Island MEDICAID 891210A RI MEDICARE
Rhode Island Other 01/27/2009 RI MEDICARE
Rhode Island Other 08/26/2008 RI MEDICARE
Rhode Island Other 1053303768 RI MEDICARE
Rhode Island Other 1210A RI MEDICARE
Rhode Island Other 930080949 RI MEDICARE

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