Kasza, Jason

Kasza, Jason is an individual health care provider with primary practice located at 550 S Landmark Ave , Bloomington IN 47403-3239. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Kasza, Jason can be contacted via phone (812) 355-2750.

Contact Information

Primary practice address
550 S Landmark Ave Bloomington IN 47403-3239
Phone: (812) 355-2750
Fax: (812) 355-2751
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 094152 Ohio
Allopathic & Osteopathic Physicians / Surgery 208600000X MD429945 Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X 01071022A Indiana

Profile Details

NPI number 1114105095
LBN Legal business name Kasza, Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2008
Last updated Dec 17th, 2020 - about 4 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 1114105095 NPPES
Indiana MEDICAID 201063400

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