Harless, Jason W

Harless, Jason W is an individual health care provider with primary practice located at 10876 Isabelle Dr , New Haven IN 46774-2097. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Harless, Jason W can be contacted via phone (260) 748-2233.

Contact Information

Primary practice address
10876 Isabelle Dr New Haven IN 46774-2097
Phone: (260) 748-2233
Fax: (260) 748-2277
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 05010353A Indiana

Profile Details

NPI number 1558681957
LBN Legal business name Harless, Jason W
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2010
Last updated May 16th, 2011 - about 14 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 1558681957 NPPES
Indiana MEDICAID 201004810A
Indiana Other 100257920
Indiana Other 156546

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