Harlow, Jason

Harlow, Jason is an individual health care provider with primary practice located at 8940 N Wood Sage Rd , Peoria IL 61615-7822. She recently has only one registered license in Pharmacy Service Providers / Oncology, which is considered as her primary health care specialty. Harlow, Jason can be contacted via phone (309) 243-3000.

Contact Information

Primary practice address
8940 N Wood Sage Rd Peoria IL 61615-7822
Phone: (309) 243-3000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Oncology 1835X0200X 051287097 Illinois

Profile Details

NPI number 1881071090
LBN Legal business name Harlow, Jason
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2015
Last updated Apr 27th, 2015 - about 9 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 1881071090 NPPES
Illinois Other 051287097 LICENSE

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