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NPI Code Detail

MEDICARE: JASPER PERSON III

MEDICARE: JASPER PERSON III
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1023797735
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASPER PERSON III
Provider Business Mailing Address
First Line : 319 W MARKET ST
Second Line :
City : LIMA
State : OH
Zip : 45801-4713
Country : US
Telephone Number : 614-642-4700
Fax Number :
Provider Business Practice Location Address
First Line : 319 W MARKET ST
Second Line :
City : LIMA
State : OH
Zip : 45801-4713
Country : US
Telephone Number : 614-893-0408
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2023
Last Update Date : 05/22/2026

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Directions to “ JASPER PERSON III ” Practice Location

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