Packer, Jason

Packer, Jason is an individual health care provider with primary practice located at 151 N Sunrise Ave Suite 1005, Roseville CA 95661-2924. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Packer, Jason can be contacted via phone (916) 782-1217.

Contact Information

Primary practice address
151 N Sunrise Ave Suite 1005 Roseville CA 95661-2924
Phone: (916) 782-1217
Fax: (916) 782-7630
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC29082 California
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 23146 California

Profile Details

NPI number 1538261425
LBN Legal business name Packer, Jason
Credentials P.A.-C, D.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Mar 5th, 2014 - 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 1538261425 NPPES
California Other DC0290820 BLUE SHIELD IDENTIF. NUMB

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