SearchOhio367500000X

Jason Basic

NPI 1407392079 · on the registry since 2017 · sole proprietor

Practice

Address
2342 Oak Trace St
Austintown, OH 44515
Phone
(330) 402-0406

Registry record

Primary taxonomy
367500000X
367500000X
Also registered as
390200000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-11-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio