Provider Demographics
NPI:1326233404
Name:ASSURANCE ONCOLOGY SERVICES LLC
Entity Type:Organization
Organization Name:ASSURANCE ONCOLOGY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:JAHRAUS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-678-4883
Mailing Address - Street 1:70 BOWDEN CIR
Mailing Address - Street 2:
Mailing Address - City:CHELSEA
Mailing Address - State:AL
Mailing Address - Zip Code:35043-3215
Mailing Address - Country:US
Mailing Address - Phone:205-678-4883
Mailing Address - Fax:205-678-4884
Practice Address - Street 1:70 BOWDEN CIR
Practice Address - Street 2:
Practice Address - City:CHELSEA
Practice Address - State:AL
Practice Address - Zip Code:35043-3215
Practice Address - Country:US
Practice Address - Phone:205-678-4883
Practice Address - Fax:205-678-4884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-11
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL000263212085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty