Koneman, Jason Wayne

Koneman, Jason Wayne is an sole proprietor health care provider with primary practice located at 10101 W Parmer Ln Apt 1314 , Austin TX 78717-5031. He recently has 5 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Other Service Providers / Health Educator, Pharmacy Service Providers / Pharmacy Technician, Managed Care Organizations / Point of Service, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Koneman, Jason Wayne can be contacted via phone (512) 981-5828.

Contact Information

Primary practice address
10101 W Parmer Ln Apt 1314 Austin TX 78717-5031
Phone: (512) 981-5828
Fax: (512) 541-2868
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Other Service Providers / Health Educator 174H00000X
Pharmacy Service Providers / Pharmacy Technician 183700000X 102114 Texas
Pharmacy Service Providers / Pharmacy Technician 183700000X 260101030750018
Managed Care Organizations / Point of Service 305S00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1730412396
LBN Legal business name Koneman, Jason Wayne
Credentials CPHT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2009
Last updated Dec 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730412396 NPPES
Texas Other 102114 TEXAS STATE BOARD OF PHARMACY

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