Jarvis, Jason

Jarvis, Jason is an individual health care provider with primary practice located at 404 Hunter St , Espanola NM 87532-2655. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Jarvis, Jason can be contacted via phone (505) 753-4123.

Contact Information

Primary practice address
404 Hunter St Espanola NM 87532-2655
Phone: (505) 753-4123
Fax: (505) 753-6947
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1245564863
LBN Legal business name Jarvis, Jason
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2009
Last updated Oct 8th, 2009 - about 16 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 1245564863 NPPES
New Mexico MEDICAID E7436

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