Active NPIIndividual providerSole proprietor

Mr. Jason D Asdourian, ATC

Specialist/Technologist, Athletic Trainer in South Portland, Maine

NPI Number1356355267
Practice location
96 Winding Way, South Portland, ME 04106-6843
Fax
—
Last updated
July 8, 2007

Jason Duane Asdourian is a Specialist/Technologist, Athletic Trainer based in South Portland, ME. Jason Duane Asdourian practices in South Portland, ME and has the professional credentials of ATC. The NPI Number for Jason Duane Asdourian is 1356355267 and holds a License No. AT280 (ME). The current practice location address for Jason Duane Asdourian is 96 Winding Way, South Portland, ME 04106-6843 and can be reached out via phone at 207-329-5826.

Provider Profile Details

NPI Number
1356355267
Provider Name
Jason Duane Asdourian
Credential
ATC
Provider Entity Type
Individual
Gender
Male
Address
96 Winding Way, South Portland, ME 04106-6843
Phone Number
207-329-5826
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
July 28, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
96 Winding Way
South Portland, ME 04106-6843
State
Maine
Zip
04106-6843
Phone Number
207-329-5826
South Portland, ME 04106Get directions →

Provider Business Mailing Address Details

Address
96 Winding Way
South Portland, ME 04106-6843
City
South Portland
State
ME
Zip
04106-6843

License Information

License Number
AT280
License State
ME
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Jason D Asdourian, ATC?

The NPI number of Mr. Jason D Asdourian, ATC is 1356355267. It was assigned on July 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Jason D Asdourian, ATC?

Mr. Jason D Asdourian, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in ME under license number AT280.

Where does Mr. Jason D Asdourian, ATC practice?

The practice location is 96 Winding Way, South Portland, ME 04106-6843. The office can be reached at 207-329-5826 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356355267 directly on the NPPES registry website.

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