Pope, Jason Edward

Pope, Jason Edward is an individual health care provider with primary practice located at 220 Concourse Blvd , Santa Rosa CA 95403-8210. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Pope, Jason Edward can be contacted via phone (844) 527-7369.

Contact Information

Primary practice address
220 Concourse Blvd Santa Rosa CA 95403-8210
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 41564 Tennessee
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 25047 West Virginia
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 114663 California
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X A114663 California

Profile Details

NPI number 1215078647
LBN Legal business name Pope, Jason Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2007
Last updated Jun 22nd, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215078647 NPPES
California MEDICAID 1821509T

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