Morris, Jason Kendell
Morris, Jason Kendell is an individual health care provider with primary practice located at 618 Frederick Dr , Cleveland MS 38732-2006. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Body Imaging is his primary health care specialty. Morris, Jason Kendell can be contacted via phone (662) 299-2999.Contact Information
Primary practice address
618 Frederick Dr
Cleveland MS 38732-2006
Phone: (662) 299-2999
Fax: (662) 846-8989
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | E-0389 | Arkansas |
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 14181 | Mississippi |
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | MD.200141 | Louisiana |
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 049069 | Georgia |
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 693403 | Tennessee |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 14181 | Mississippi |
Profile Details
| NPI number | 1790720779 |
|---|---|
| LBN Legal business name | Morris, Jason Kendell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Oct 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790720779 | NPPES |
| Mississippi | MEDICAID | 00118193 | |
| Mississippi | MEDICAID | 156472001 | |
| Mississippi | Other | 300126521 | |
| Mississippi | Other | 5M809 |
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