Jason Lee Prather in Ada - Specialist

Jason Lee Prather - NPI 1932221793

Jason Lee Prather is a Specialist in Ada, Oklahoma. Jason Lee Prather practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jason Lee Prather is 1932221793. The last update date is 2007-07-08.

Jason Lee Prather's current location address is 1100 E 14th St, Ada, Oklahoma. You can contact this provider via phone number 5803105315 and fax number 5803328361. The mailing address for Jason Lee Prather is 1100 E 14th St, Ada, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Jason Lee Prather
Address 1100 E 14th St, Ada, Oklahoma
Phone Number 5803105315
Fax Number 5803328361
Sole Proprietor N
Credentials ATC

NPI Number Detail

NPI Number 1932221793
Provider Enumeration Date 2007-04-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1100 E 14th St
City Ada
State Oklahoma (OK)
Post Code 748206915
Phone Number 5803105315
Fax Number 5803328361

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No AT 206
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Jason Lee Prather

What is the unique provider identifier assigned to Jason Lee Prather?

The Jason Lee Prather has been issued the NPI (National Provider Identifier) 1932221793 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Jason Lee Prather's facilities are situated?

The facilities of Jason Lee Prather are physically located at the following address: 1100 E 14Th St, Ada, OK, 748206915.

What is Jason Lee Prather's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jason Lee Prather is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.

On what date did the Jason Lee Prather receive the assignment of its 1932221793 from the Centers for Medicare & Medicaid Services?

The Jason Lee Prather was issued its 1932221793 by the Centers for Medicare & Medicaid Services on 2007-04-04.

When was the information pertaining to Jason Lee Prather most recently updated or revised?

The details related to Jason Lee Prather, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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