Jason S So is a Family Medicine in Lake Geneva, Wisconsin. Jason S So practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jason S So is 1508078643. The last update date is 2019-08-29.
Jason S So's current location address is 350 Peller Rd, Lake Geneva, Wisconsin. You can contact this provider via phone number 2622450221 and fax number 2622490633. The mailing address for Jason S So is 350 Peller Rd, Lake Geneva, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason S So |
|---|---|
| Address | 350 Peller Rd, Lake Geneva, Wisconsin |
| Phone Number | 2622450221 |
| Fax Number | 2622490633 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1508078643 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2019-08-29 |
Provider Mailing Address Detail
| Address | 350 Peller Rd |
|---|---|
| City | Lake Geneva |
| State | Wisconsin (WI) |
| Post Code | 531474543 |
| Phone Number | 2622450221 |
| Fax Number | 2622490633 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36119919 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1508078643 | WI | BCBSWI | |
| SOJAS | WI | MERCYCARE INSURANCE | |
| 1508078643 | WI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Jason S So by the Centers for Medicare & Medicaid Services?
The Jason S So has been issued the NPI (National Provider Identifier) 1508078643. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jason S So?
The Jason S So is situated at 350 Peller Rd, in the city of Lake Geneva, state of WI, with the zip code 531474543.
What is Jason S So's area of expertise and its corresponding taxonomy classification?
The Jason S So's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
When did the Jason S So receive its 1508078643?
The Jason S So was issued its 1508078643 on 2007-05-03, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Jason S So most recently updated or revised?
The details related to Jason S So, including its address, specialty, and other relevant information, were last updated or revised on 2019-08-29.