Kim, Jason
Kim, Jason is an individual health care provider with primary practice located at 1825 Marika Rd , Fairbanks AK 99709-5521. He recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Day Training/Habilitation Specialist, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is his primary health care specialty. Kim, Jason can be contacted via phone (907) 474-0890.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Related Providers / Day Training/Habilitation Specialist | 373H00000X | ||
Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
NPI number | 1659900942 |
---|---|
LBN Legal business name | Kim, Jason |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 7th, 2020 |
Last updated | Mar 4th, 2021 - about 3 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 | 1659900942 | NPPES |
Alaska | Other | N.A | N.A |
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