Thompson, Jasen Russell
Thompson, Jasen Russell is an individual health care provider with primary practice located at 1001 S Knik Goose Bay Rd Pcc West, Wasilla AK 99654-8083. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Thompson, Jasen Russell can be contacted via phone (907) 631-7851.Contact Information
Primary practice address
1001 S Knik Goose Bay Rd Pcc West
Wasilla AK 99654-8083
Phone: (907) 631-7851
Fax: (907) 631-7612
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 620 | Alaska |
Profile Details
| NPI number | 1033226998 |
|---|---|
| LBN Legal business name | Thompson, Jasen Russell |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Jul 16th, 2014 - about 10 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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