Mattingly, Jason Ross

Mattingly, Jason Ross is an individual health care provider with primary practice located at 3301 Mercy Boulevard Suite 340, Cincinnati OH 45211-1112. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mattingly, Jason Ross can be contacted via phone (513) 981-5922.

Contact Information

Primary practice address
3301 Mercy Boulevard Suite 340 Cincinnati OH 45211-1112
Phone: (513) 981-5922
Fax: (513) 385-6430
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35085748 Ohio

Profile Details

NPI number 1548267826
LBN Legal business name Mattingly, Jason Ross
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Dec 6th, 2013 - about 11 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 1548267826 NPPES
Ohio MEDICAID 2552090

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