Hiatt, Jason Marshall

Hiatt, Jason Marshall is an sole proprietor health care provider with primary practice located at 1401 Spanos Ct Suite 104, Modesto CA 95355-2810. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Hiatt, Jason Marshall can be contacted via phone (209) 525-3150.

Contact Information

Primary practice address
1401 Spanos Ct Suite 104 Modesto CA 95355-2810
Phone: (209) 525-3150
Fax: (209) 525-3153
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Sports Medicine 213ES0000X E4350 California
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E4350 California

Profile Details

NPI number 1760580310
LBN Legal business name Hiatt, Jason Marshall
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Apr 24th, 2009 - about 15 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 1760580310 NPPES
California Other 000E43500 BLUE SHIELD
California MEDICAID 000E43500 BLUE SHIELD
California Other 480033874 BLUE SHIELD

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