Whaley, Jason William

Whaley, Jason William is an individual health care provider with primary practice located at 1024 S Lemay Ave , Fort Collins CO 80524-3929. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Whaley, Jason William can be contacted via phone (970) 495-7000.

Contact Information

Primary practice address
1024 S Lemay Ave Fort Collins CO 80524-3929
Phone: (970) 495-7000
Fax: (303) 306-7753
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 20331 California
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 506 Alaska
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 195 Wyoming
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2245 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.0002245 Colorado

Profile Details

NPI number 1619091451
LBN Legal business name Whaley, Jason William
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
Last updated Feb 19th, 2020 - about 5 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 1619091451 NPPES
Colorado MEDICAID 46407871

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