Vance, Jason R
Vance, Jason R is an individual health care provider with primary practice located at 2121 E Harmony Rd Ste 330, Fort Collins CO 80528-3400. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Vance, Jason R can be contacted via phone (970) 624-4439.Contact Information
Primary practice address
2121 E Harmony Rd Ste 330
Fort Collins CO 80528-3400
Phone: (970) 624-4439
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2491 | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 2491 | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 2491 | Colorado |
Profile Details
| NPI number | 1346435120 |
|---|---|
| LBN Legal business name | Vance, Jason R |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2007 |
| Last updated | Dec 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346435120 | NPPES |
| Colorado | MEDICAID | 43529577 |
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