Jason Dorris is a Medical in West Frankfort, Illinois. Jason Dorris practices all healthcare services and medical treatments related to Medical. The NPI Number for Jason Dorris is 1558391367. The last update date is 2022-03-22.
Jason Dorris's current location address is 309 W Saint Louis St Ste B, West Frankfort, Illinois. You can contact this provider via phone number 6189322200 and fax number 6189322202. The mailing address for Jason Dorris is 309 W Saint Louis St Ste B, West Frankfort, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Dorris |
|---|---|
| Address | 309 W Saint Louis St Ste B, West Frankfort, Illinois |
| Phone Number | 6189322200 |
| Fax Number | 6189322202 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1558391367 |
|---|---|
| Provider Enumeration Date | 2006-07-04 |
| Last Updated Date | 2022-03-22 |
Provider Mailing Address Detail
| Address | 309 W Saint Louis St Ste B |
|---|---|
| City | West Frankfort |
| State | Illinois (IL) |
| Post Code | 628962047 |
| Phone Number | 6189322200 |
| Fax Number | 6189322202 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 085-002119 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Jason Dorris?
The Jason Dorris has been issued the NPI (National Provider Identifier) 1558391367 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jason Dorris's facilities are geographically located?
The facilities of Jason Dorris are physically situated at the following location: 309 W Saint Louis St Ste B, West Frankfort, IL, 628962047.
What is Jason Dorris's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jason Dorris is Medical, and the corresponding taxonomy classification code for this specialized field is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1558391367 to Jason Dorris?
The Jason Dorris received its 1558391367 assignment from the Centers for Medicare & Medicaid Services on 2006-07-04.
When was the information regarding Jason Dorris, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jason Dorris, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-03-22.