Wesley, Jason Allen

Wesley, Jason Allen is an individual health care provider with primary practice located at 210 Sunset Dr Ste A , Sedona AZ 86336-5406. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wesley, Jason Allen can be contacted via phone (928) 660-6960.

Contact Information

Primary practice address
210 Sunset Dr Ste A Sedona AZ 86336-5406
Fax: (928) 660-6959
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 26831 Arizona

Profile Details

NPI number 1962425660
LBN Legal business name Wesley, Jason Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Mar 22nd, 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 1962425660 NPPES
Arizona MEDICAID 944555

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