Robertson, Jason Owen

Robertson, Jason Owen is an individual health care provider with primary practice located at 9500 Euclid Avenue Crile Building, 12Th Floor, Cleveland OH 44195. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is his primary health care specialty. Robertson, Jason Owen can be contacted via phone (216) 445-4051.

Contact Information

Primary practice address
9500 Euclid Avenue Crile Building, 12Th Floor Cleveland OH 44195
Phone: (216) 445-4051
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2009013686 Missouri
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 4301109273 Michigan
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 35136881 Ohio
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X ME131871 Florida

Profile Details

NPI number 1730316456
LBN Legal business name Robertson, Jason Owen
Credentials M.D., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2009
Last updated Jul 11th, 2019 - about 5 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 1730316456 NPPES
Missouri Other 2009013686 MISSOURI TEMPORARY LICENSE

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