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JASON MICHAEL ALLEN
>> Anesthesiologist Assistant >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1417387085
Individual Registrant: JASON MICHAEL ALLEN
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
417 W 3RD AVE ALBANY, GA 31701-1943 US
Tel: 229-312-1000 Fax: --
Tel: 229-312-1000 Fax: --
Contact information for business:
417 W 3RD AVE ALBANY, GA 31701-1943 US
Tel: 229-312-1000 Fax: --
Tel: 229-312-1000 Fax: --
Registration Information:
NPI: 1417387085
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 367H00000X | Physician Assistants & Advanced Practice Nursing Providers Anesthesiologist Assistant | GA | 007024 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
