West, Jason

West, Jason is an individual health care provider with primary practice located at 117 E Clark St , Harrisburg IL 62946. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. West, Jason can be contacted via phone (618) 252-8625.

Contact Information

Primary practice address
117 E Clark St Harrisburg IL 62946
Phone: (618) 252-8625
Fax: (618) 351-4859
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036148248 Illinois

Profile Details

NPI number 1760831218
LBN Legal business name West, Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2016
Last updated Jun 3rd, 2024 - about last year

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 1760831218 NPPES
Illinois MEDICAID 036148248

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