Reeves, Jason Daniel

Reeves, Jason Daniel is an individual health care provider with primary practice located at 401 Baptist Dr Suite 306, Madison MS 39110-2009. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Reeves, Jason Daniel can be contacted via phone (601) 607-7204.

Contact Information

Primary practice address
401 Baptist Dr Suite 306 Madison MS 39110-2009
Phone: (601) 607-7204
Fax: (601) 607-7430
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X PT4077 Mississippi
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT4077 Mississippi

Profile Details

NPI number 1275546103
LBN Legal business name Reeves, Jason Daniel
Credentials MS,PT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Mar 15th, 2018 - about 6 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 1275546103 NPPES
Mississippi Other 7752862 AETNA
Mississippi Other PT4077 AETNA

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