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:
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Health care specialties

SpecialtyCodeLicense #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 17 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 1346243037 NPPES
Tennessee Other 0723280001 PALMETTO
Tennessee Other 4063289 PALMETTO
Tennessee Other P00314160 PALMETTO
Tennessee MEDICAID 3645189 PALMETTO

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