Mccloud, Jason H
Mccloud, Jason H is an sole proprietor health care provider with primary practice located at 107 E Main St , Grayson KY 41143-1301. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mccloud, Jason H can be contacted via phone (606) 474-5149.Contact Information
Primary practice address
107 E Main St
Grayson KY 41143-1301
Phone: (606) 474-5149
Fax: (606) 474-0648
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1585DT | Kentucky |
Profile Details
| NPI number | 1679505507 |
|---|---|
| LBN Legal business name | Mccloud, Jason H |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Feb 26th, 2009 - about 15 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 | 1679505507 | NPPES |
| Kentucky | MEDICAID | 77000859 |
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