Sanderson, Jason John

Sanderson, Jason John is an sole proprietor health care provider with primary practice located at 515 Pennsylvania Ave Ste A2Nd , Fort Washington PA 19034-3314. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sanderson, Jason John can be contacted via phone (215) 540-8408.

Contact Information

Primary practice address
515 Pennsylvania Ave Ste A2Nd Fort Washington PA 19034-3314
Fax: (215) 540-8418
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS012064 Pennsylvania

Profile Details

NPI number 1760444111
LBN Legal business name Sanderson, Jason John
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2006
Last updated Feb 18th, 2019 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1760444111 NPPES
Pennsylvania MEDICAID 1031173500001
Pennsylvania Other DT0827

Popular Providers