Zommick, Jason N

Zommick, Jason N is an individual health care provider with primary practice located at 5701 W. Charleston Blvd Suite 201, Las Vegas NV 89146. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Zommick, Jason N can be contacted via phone (702) 877-0814.

Contact Information

Primary practice address
5701 W. Charleston Blvd Suite 201 Las Vegas NV 89146
Phone: (702) 877-0814
Fax: (702) 877-3238
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 9752 Nevada

Profile Details

NPI number 1255367553
LBN Legal business name Zommick, Jason N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2006
Last updated Mar 7th, 2014 - about 11 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 1255367553 NPPES
Nevada MEDICAID 002018467
Nevada Other 340020382

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