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Contact Information

JASON DOUGLAS, M.D., M.P.H.
7150 CLEARVISTA DR
INDIANAPOLIS, IN46256-1695
 Phone: 317-621-6262
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JASON DOUGLAS · (Male)

NPI # 1346620564
Status Active
Credentials M.D., M.P.H.
Entity Individual
Enumeration date 06/03/2015
Last updated 08/19/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 01087704A
  • OH License # 57.025883
Hospital affiliation(s)
  • MERCY FRANCISCAN HOSPITAL - MT AIRY - (Acute Care)
    3300 MERCY HEALTH BLVD
    CINCINNATI, OH 45211
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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