Park, Jason Andrew
Park, Jason Andrew is an individual health care provider with primary practice located at 1495 Garden Of The Gods Rd Ste 102 , Colorado Springs CO 80907-3429. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Park, Jason Andrew can be contacted via phone (719) 260-9797.Contact Information
Primary practice address
1495 Garden Of The Gods Rd Ste 102
Colorado Springs CO 80907-3429
Phone: (719) 260-9797
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | DR.0070080 | Colorado |
Profile Details
| NPI number | 1053999250 |
|---|---|
| LBN Legal business name | Park, Jason Andrew |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2021 |
| Last updated | Jan 26th, 2023 - about 2 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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