Ward, Jason Douglas
Ward, Jason Douglas is an individual health care provider with primary practice located at 7730 Wolf River Blvd Suite 109, Germantown TN 38138-1708. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Ward, Jason Douglas can be contacted via phone (901) 522-6671.Contact Information
Primary practice address
7730 Wolf River Blvd Suite 109
Germantown TN 38138-1708
Phone: (901) 522-6671
Fax: (901) 522-6715
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT6807 | Tennessee |
Profile Details
NPI number | 1346243037 |
---|---|
LBN Legal business name | Ward, Jason Douglas |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 27th, 2005 |
Last updated | Oct 18th, 2007 - about 18 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 | 1346243037 | NPPES |
Tennessee | Other | 0723280001 | PALMETTO |
Tennessee | Other | 4063289 | PALMETTO |
Tennessee | Other | P00314160 | PALMETTO |
Tennessee | MEDICAID | 3645189 | PALMETTO |
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