JASON FORT CST/CSA NPI 1417228909

NPI Information

NPI: 1417228909
Provider Name: JASON FORT, CST/CSA
Classification: - 246ZS0400X
Entity Type: Individual
Address:
2778 E SUPERIOR RD
SAN TAN VALLEY, AZ
ZIP 85143
Phone: (480) 313-9045
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Jason Fort, CST/CSA is a healthcare provider in San Tan Valley, AZ. Jason Fort, CST/CSA NPI is 1417228909. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2778 E SUPERIOR RD
SAN TAN VALLEY, AZ
ZIP 85143-573
Phone: (480) 313-9045
Fax: (480) 987-2186

The enumeration date for this NPI number is 1/16/2012 and was last updated on 8/12/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	246ZS0400X			454110172	OREGON	No
2	246ZS0400X			L18709787	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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