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Contact Information

JASON LY, DO
1000 BLYTHE BLVD FL 4
CHARLOTTE, NC28203-5812
 Phone: 704-381-6800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Emergency Medicine

2080P0204X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JASON LY · (Male)

NPI # 1649920265
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/26/2022
Last updated 03/19/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • NC License # 2026-01173
  • VA License # 0102209178
Hospital affiliation(s) Not Available
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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