Huber, Jason Richard

Huber, Jason Richard is an individual health care provider with primary practice located at 2022 E Taylor St , Bloomington IL 61701-5716. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Huber, Jason Richard can be contacted via phone (309) 264-4571.

Contact Information

Primary practice address
2022 E Taylor St Bloomington IL 61701-5716
Phone: (309) 264-4571
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X Illinois

Profile Details

NPI number 1295701613
LBN Legal business name Huber, Jason Richard
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2006
Last updated Jul 8th, 2007 - about 17 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 1295701613 NPPES
Illinois Other 7232002 BCBS
Illinois Other 7311298 BCBS
Illinois Other 617982 BCBS
Illinois Other 090388 BCBS
Illinois Other P00229821 BCBS

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