Huston, Jason M

Huston, Jason M is an individual health care provider with primary practice located at 611 W Park St , Urbana IL 61801-2500. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Huston, Jason M can be contacted via phone (217) 383-3270.

Contact Information

Primary practice address
611 W Park St Urbana IL 61801-2500
Phone: (217) 383-3270
Fax: (217) 383-4116
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 269667 New York
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 269667 New York
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 55374 Wisconsin
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036139273 Illinois

Profile Details

NPI number 1124288915
LBN Legal business name Huston, Jason M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2008
Last updated Aug 6th, 2016 - about 8 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 1124288915 NPPES
New York MEDICAID 03583575

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