Sanders, Jason Chad

Sanders, Jason Chad is an individual health care provider with primary practice located at 1200 Breckenridge Street , Owensboro KY 42303-1090. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Sanders, Jason Chad can be contacted via phone (270) 683-7553.

Contact Information

Primary practice address
1200 Breckenridge Street Owensboro KY 42303-1090
Phone: (270) 683-7553
Fax: (270) 926-4801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4263P Kentucky

Profile Details

NPI number 1104857432
LBN Legal business name Sanders, Jason Chad
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Feb 15th, 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 1104857432 NPPES
Kentucky MEDICAID 78011848

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