Thomas, Jason

Thomas, Jason is an individual health care provider with primary practice located at 1616 Southridge Dr Ste 202, Jefferson City MO 65109-5677. He recently has only one registered license in Nursing Service Providers / Medical-Surgical, which is considered as his primary health care specialty. Thomas, Jason can be contacted via phone (573) 635-0401.

Contact Information

Primary practice address
1616 Southridge Dr Ste 202 Jefferson City MO 65109-5677
Phone: (573) 635-0401
Fax: (573) 635-6715
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X 2004003193 Missouri

Profile Details

NPI number 1649431420
LBN Legal business name Thomas, Jason
Credentials RNFA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2008
Last updated Dec 9th, 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 1649431420 NPPES
Missouri Other 062603 CNOR CERTIFICATE FOR PROFESSIONAL ACHIEVEMENT IN PERIOPERATIVE NURSING PRACTICE
Missouri Other CEP11471 CNOR CERTIFICATE FOR PROFESSIONAL ACHIEVEMENT IN PERIOPERATIVE NURSING PRACTICE

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