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NPI Code Detail

MEDICARE: JASON E KNIGHT LISW

MEDICARE:   JASON E KNIGHT  LISW
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
11041C0700XClinical Social Worker007582IA

General Provider Information

NPI Number : 1881993160
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON E KNIGHT LISW
Provider Business Mailing Address
First Line : 1150 5TH ST STE 270
Second Line :
City : IOWA CITY
State : IA
Zip : 52241-2933
Country : US
Telephone Number : 319-804-9312
Fax Number : 888-892-7959
Provider Business Practice Location Address
First Line : 1150 5TH ST STE 270
Second Line :
City : IOWA CITY
State : IA
Zip : 52241-2933
Country : US
Telephone Number : 319-804-9312
Fax Number : 888-892-7959
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2011
Last Update Date : 03/01/2018

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Directions to “ JASON E KNIGHT LISW” Practice Location

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