Jack, Jason M

Jack, Jason M is an individual health care provider with primary practice located at 2000 Stonegate Trl Suite 100, Birmingham AL 35242-2246. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Jack, Jason M can be contacted via phone (205) 298-8660.

Contact Information

Primary practice address
2000 Stonegate Trl Suite 100 Birmingham AL 35242-2246
Phone: (205) 298-8660
Fax: (205) 298-8664
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 00026747 Alabama

Profile Details

NPI number 1518910892
LBN Legal business name Jack, Jason M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Oct 20th, 2011 - about 13 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 1518910892 NPPES
Alabama Other 51591946 BCBS OF AL
Alabama Other 51040131 BCBS OF AL
Alabama Other 51591941 BCBS OF AL
Alabama Other 51591942 BCBS OF AL

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