Willoughby, Jason Alexander

Willoughby, Jason Alexander is an individual health care provider with primary practice located at 151 N Eagle Creek Dr Suite 400, Lexington KY 40509-1889. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as his primary health care specialty. Willoughby, Jason Alexander can be contacted via phone (859) 264-8866.

Contact Information

Primary practice address
151 N Eagle Creek Dr Suite 400 Lexington KY 40509-1889
Phone: (859) 264-8866
Fax: (859) 264-1167
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X R2268 Kentucky

Profile Details

NPI number 1497740583
LBN Legal business name Willoughby, Jason Alexander
Credentials MHS, OTR/L, CHT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Jun 23rd, 2016 - about 8 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 1497740583 NPPES
Kentucky Other 000000600569 BCBS FOR LHT

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