Redd, Jason M

Redd, Jason M is an individual health care provider with primary practice located at 1100 Las Tablas Rd , Templeton CA 93465-9704. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Redd, Jason M can be contacted via phone (805) 434-3500.

Contact Information

Primary practice address
1100 Las Tablas Rd Templeton CA 93465-9704
Phone: (805) 434-3500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X A77465 California
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A77465 California

Profile Details

NPI number 1720036304
LBN Legal business name Redd, Jason M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated May 24th, 2010 - about 14 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 1720036304 NPPES
California MEDICAID 00A774650

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