Jancosko, Jason J

Jancosko, Jason J is an individual health care provider with primary practice located at 510 Idlewild Ave , Easton MD 21601-3881. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Jancosko, Jason J can be contacted via phone (410) 820-8226.

Contact Information

Primary practice address
510 Idlewild Ave Easton MD 21601-3881
Phone: (410) 820-8226
Fax: (410) 820-8405
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X H75947 Maryland

Profile Details

NPI number 1992939151
LBN Legal business name Jancosko, Jason J
Credentials D.O., M.P.T.
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2009
Last updated Jul 1st, 2016 - about 9 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 1992939151 NPPES
Maryland Other CF170008 CAREFIRST
Maryland MEDICAID 4458265 00 CAREFIRST

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