Herlong, Jason Lane
Herlong, Jason Lane is an individual health care provider with primary practice located at 5353 Reynolds St , Savannah GA 31405-6015. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Herlong, Jason Lane can be contacted via phone (912) 819-6000.Contact Information
Primary practice address
5353 Reynolds St
Savannah GA 31405-6015
Phone: (912) 819-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 22503 | New Hampshire |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 51553 | South Carolina |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 4301094817 | Michigan |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | MD.207659 | Louisiana |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 51553 | South Carolina |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 71789 | Georgia |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 51553 | South Carolina |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 71789 | Georgia |
Profile Details
| NPI number | 1891923546 |
|---|---|
| LBN Legal business name | Herlong, Jason Lane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2009 |
| Last updated | Sep 8th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891923546 | NPPES |
| Mississippi | MEDICAID | 02334560 | |
| Mississippi | MEDICAID | 2394690 |
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