Provider Demographics
NPI:1790768653
Name:HELLIWELL, JASON PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:PAUL
Last Name:HELLIWELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8501 BRIMHALL RD
Mailing Address - Street 2:STE 300
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-2254
Mailing Address - Country:US
Mailing Address - Phone:661-377-1400
Mailing Address - Fax:661-377-1402
Practice Address - Street 1:8501 BRIMHALL RD STE 300
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-2254
Practice Address - Country:US
Practice Address - Phone:661-410-2942
Practice Address - Fax:661-410-0135
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2017-10-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA74796207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology