Smallwood, Jason R
Smallwood, Jason R is an individual health care provider with primary practice located at 300 Foxglove Dr , Mount Sterling KY 40353-9769. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Smallwood, Jason R can be contacted via phone (866) 233-1955.Contact Information
Primary practice address
300 Foxglove Dr
Mount Sterling KY 40353-9769
Phone: (866) 233-1955
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 103119 | Kentucky |
Profile Details
| NPI number | 1457491334 |
|---|---|
| LBN Legal business name | Smallwood, Jason R |
| Credentials | LPCA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Jun 17th, 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 | 1457491334 | NPPES |
| Kentucky | MEDICAID | 30615058 |
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