Kelly, Jason
Kelly, Jason is an sole proprietor health care provider with primary practice located at 3000 32Nd Ave S , Fargo ND 58103-6132. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Kelly, Jason can be contacted via phone (701) 364-8000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 58081 | Minnesota |
Profile Details
| NPI number | 1669785556 |
|---|---|
| LBN Legal business name | Kelly, Jason |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 20th, 2010 |
| Last updated | May 1st, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669785556 | NPPES |
| Minnesota | Other | 58081 | STATE BOARD |
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