Mclavy, Jason Scott Burns
Mclavy, Jason Scott Burns is an sole proprietor health care provider with primary practice located at 11916 Blairmont Pl , Glen Allen VA 23059-5399. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mclavy, Jason Scott Burns can be contacted via phone (352) 239-1777.Contact Information
Primary practice address
11916 Blairmont Pl
Glen Allen VA 23059-5399
Phone: (352) 239-1777
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME78962 | Florida |
Profile Details
| NPI number | 1639245459 |
|---|---|
| LBN Legal business name | Mclavy, Jason Scott Burns |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 24th, 2006 |
| Last updated | May 1st, 2024 - about 6 months 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 | 1639245459 | NPPES |
| Florida | Other | 47249 | BCBS - FL |
| Florida | Other | P00466892 | BCBS - FL |
| Florida | MEDICAID | 256116600 | BCBS - FL |
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