1447208806 NPI number — MR. BRYAN D JASKER PT

Table of content: MR. BRYAN D JASKER PT (NPI 1447208806)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447208806 NPI number — MR. BRYAN D JASKER PT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JASKER
Provider First Name:
BRYAN
Provider Middle Name:
D
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
PT
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447208806
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/05/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1111 TRINITY LN
Provider Second Line Business Mailing Address:
SUITE 111
Provider Business Mailing Address City Name:
BLOOMINGTON
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
61704-8111
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
309-663-6461
Provider Business Mailing Address Fax Number:
309-661-8107

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1111 TRINITY LN
Provider Second Line Business Practice Location Address:
SUITE 111
Provider Business Practice Location Address City Name:
BLOOMINGTON
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
61704-8111
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
309-663-6461
Provider Business Practice Location Address Fax Number:
309-661-8107
Provider Enumeration Date:
05/05/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  070-014356 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 070-014356 . This is a "IL LICENSE NO" identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".