Soffa, Jason Ian

Soffa, Jason Ian is an individual health care provider with primary practice located at 27450 Schoenherr Rd Suite 400, Warren MI 48088-6683. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Soffa, Jason Ian can be contacted via phone (586) 582-7550.

Contact Information

Primary practice address
27450 Schoenherr Rd Suite 400 Warren MI 48088-6683
Phone: (586) 582-7550
Fax: (586) 582-7515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101015353 Michigan

Profile Details

NPI number 1194791368
LBN Legal business name Soffa, Jason Ian
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Aug 17th, 2010 - about 14 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 1194791368 NPPES
Michigan Other 53150194353 CONTROLLED SUBSTANCE
Michigan MEDICAID 4828059 CONTROLLED SUBSTANCE
Michigan MEDICAID 5183594 CONTROLLED SUBSTANCE

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