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Jason Michael Licht, PA-C
Physician Assistant in Raleigh, North Carolina
NPI 1073533410

Jason Michael Licht is a Physician Assistant based in Charlotte, NC. Jason Michael Licht practices in Raleigh, NC and has the professional credentials of PA-C. The NPI Number for Jason Michael Licht is 1073533410 and holds a License No. 0010-00069 (North Carolina).

The current practice location address for Jason Michael Licht is 3000 New Bern Ave, Raleigh, NC and can be reached out via phone at 919-231-6132 and via fax at 919-231-6276.

Location: 3000 New Bern Ave, Raleigh, NC, 28260-3949
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073533410
Provider Name
Jason Michael Licht
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
3000 New Bern Ave, Raleigh, NC, 28260-3949
Phone Number
919-231-6132
Fax Number
919-231-6276
Provider Enumeration Date
07/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1073533410 05 NC
institution
Provider Business Practice Location Address Details
Address
3000 New Bern Ave
City
Raleigh
State
North Carolina
Zip
27610-1231
Phone Number
919-231-6132
Fax Number
919-231-6276
person
Provider Business Mailing Address Details
Address
3000 New Bern Ave
City
Raleigh
State
North Carolina
Zip
27610-1231
Phone Number
919-231-6132
Fax Number
919-231-6276
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
0010-00069 (North Carolina)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
0010-00069 (North Carolina)
Definition
Definition to come...
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