White, Jason Matthew

White, Jason Matthew is an individual health care provider with primary practice located at 1301 N Race St , Glasgow KY 42141-3454. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. White, Jason Matthew can be contacted via phone (270) 651-4175.

Contact Information

Primary practice address
1301 N Race St Glasgow KY 42141-3454
Phone: (270) 651-4175
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 46959 Kentucky

Profile Details

NPI number 1184661720
LBN Legal business name White, Jason Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Mar 2nd, 2023 - about 2 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 1184661720 NPPES
Kentucky MEDICAID 7100314390

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