Harrison, Jason G

Harrison, Jason G is an individual health care provider with primary practice located at 1801 N Belt W Suite C, Belleville IL 62226-8201. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Harrison, Jason G can be contacted via phone (618) 234-6566.

Contact Information

Primary practice address
1801 N Belt W Suite C Belleville IL 62226-8201
Phone: (618) 234-6566
Fax: (618) 234-8560
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / General Practice 1223G0001X 019029875 Illinois

Profile Details

NPI number 1780098103
LBN Legal business name Harrison, Jason G
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2014
Last updated Jan 13th, 2020 - about 5 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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