Waugh, Jason Alan

Waugh, Jason Alan is an individual health care provider with primary practice located at 6709 Ridge Rd , Port Richey FL 34668-6834. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Waugh, Jason Alan can be contacted via phone (727) 248-0375.

Contact Information

Primary practice address
6709 Ridge Rd Port Richey FL 34668-6834
Phone: (727) 248-0375
Fax: (844) 388-6186
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DR.0054788 Colorado
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS18078 Florida

Profile Details

NPI number 1629123906
LBN Legal business name Waugh, Jason Alan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Nov 11th, 2022 - about 3 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 1629123906 NPPES
Colorado Other DR.0054788 COLORADO STATE MEDICAL LICENSE

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