Slater, Jared M
Slater, Jared M is an individual health care provider with primary practice located at 1451 El Camino Real , The Villages FL 32159-0041. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Slater, Jared M can be contacted via phone (352) 265-0761.Contact Information
Primary practice address
1451 El Camino Real
The Villages FL 32159-0041
Phone: (352) 265-0761
Fax: (352) 265-1060
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME154203 | Florida |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 49862 | Minnesota |
Profile Details
NPI number | 1720100803 |
---|---|
LBN Legal business name | Slater, Jared M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 6th, 2007 |
Last updated | Jan 31st, 2024 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1720100803 | NPPES |
Minnesota | Other | P00888769 | MEDICARE, RAILROAD |
Minnesota | MEDICAID | 024490000 | MEDICARE, RAILROAD |
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