Kutzer, Jared Charles
Kutzer, Jared Charles is an individual health care provider with primary practice located at 405 Arrowhead Blvd Suite C, Jonesboro GA 30236-1254. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Kutzer, Jared Charles can be contacted via phone (770) 478-9877.Contact Information
Primary practice address
405 Arrowhead Blvd Suite C
Jonesboro GA 30236-1254
Phone: (770) 478-9877
Fax: (770) 478-2908
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant | 367H00000X | 1557 | Georgia |
Profile Details
NPI number | 1740481381 |
---|---|
LBN Legal business name | Kutzer, Jared Charles |
Credentials | Associate of Arts (AA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 30th, 2007 |
Last updated | Aug 9th, 2023 - about last year |
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 | 1740481381 | NPPES |
Georgia | MEDICAID | 649695891B |
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