Randall, Jason A

Randall, Jason A is an individual health care provider with primary practice located at 2905 W Warner Rd Ste 23 , Chandler AZ 85224-1674. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Randall, Jason A can be contacted via phone (480) 345-2031.

Contact Information

Primary practice address
2905 W Warner Rd Ste 23 Chandler AZ 85224-1674
Phone: (480) 345-2031
Fax: (480) 491-2767
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 3437 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 3437 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3437 Arizona

Profile Details

NPI number 1467408690
LBN Legal business name Randall, Jason A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Jul 21st, 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 1467408690 NPPES
Arizona MEDICAID 097774

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