Jason Samuel Chartered
LBN: Jason Samuel Chartered
Jason Samuel Chartered is an health care organization with primary practice located at 110 Third St Suite 310, Henderson KY 42420. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is the primary health care specialty.
Jason Samuel Chartered can be contacted via phone (270) 826-1266, or through Samuel, Jason T via phone (270) 826-1266.
Contact Information
Primary practice address
110 Third St Suite 310
Henderson KY 42420
Phone: (270) 826-1266
Fax: (270) 827-5385
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X |
Profile Details
| NPI number | 1629143342 |
|---|---|
| LBN Legal business name | Jason Samuel Chartered |
| DBA Doing business as | |
| Authorized official | Samuel, Jason T Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 21st, 2006 |
| Last updated | May 18th, 2015 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629143342 | NPPES |
| Kentucky | MEDICAID | 7100038670 | |
| Kentucky | MEDICAID | 200893090A |
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