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Jason Packer, PA-C,DC
Surgical Physician Assistant in Roseville, California
NPI 1538261425

Jason Packer is a Surgical Physician Assistant based in Roseville, CA and is specialized in Surgical. Jason Packer practices in Roseville, CA and has the professional credentials of PA-C,DC. The NPI Number for Jason Packer is 1538261425 and holds a License No. DC29082 (California).

The current practice location address for Jason Packer is 151 N Sunrise Ave, Roseville, CA and can be reached out via phone at 916-782-1217 and via fax at 916-782-7630.

Location: 151 N Sunrise Ave, Roseville, CA, 95661-2924
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538261425
Provider Name
Jason Packer
Credential
PA-C,DC
Provider Entity Type
Individual
Gender
Male
Address
151 N Sunrise Ave, Roseville, CA, 95661-2924
Phone Number
916-782-1217
Fax Number
916-782-7630
Provider Enumeration Date
09/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DC0290820 01 CA BLUE SHIELD IDENTIF. NUMB
institution
Provider Business Practice Location Address Details
Address
151 N Sunrise Ave
City
Roseville
State
California
Zip
95661-2924
Phone Number
916-782-1217
Fax Number
916-782-7630
person
Provider Business Mailing Address Details
Address
151 N Sunrise Ave
City
Roseville
State
California
Zip
95661-2924
Phone Number
916-782-1217
Fax Number
916-782-7630
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
23146 (California)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
DC29082 (California)
Definition
Definition to come...
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