Provider Demographics
NPI:1922550235
Name:JAS MEDICAL LLC
Entity Type:Organization
Organization Name:JAS MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:SWETLIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-392-1407
Mailing Address - Street 1:7967 CINCINNATI DAYTON RD
Mailing Address - Street 2:SUITE P
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-2026
Mailing Address - Country:US
Mailing Address - Phone:513-685-0949
Mailing Address - Fax:513-282-0946
Practice Address - Street 1:11301 UPPER GILCHRIST RD
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:OH
Practice Address - Zip Code:43050-8923
Practice Address - Country:US
Practice Address - Phone:740-392-1407
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-03
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty