Provider Demographics
NPI:1023728565
Name:JASON FLASSING, LLC
Entity type:Organization
Organization Name:JASON FLASSING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:FLASSING
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:540-808-9284
Mailing Address - Street 1:9 CHESTNUT SPRINGS CT
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29651-2327
Mailing Address - Country:US
Mailing Address - Phone:540-808-9284
Mailing Address - Fax:864-697-2042
Practice Address - Street 1:33 MARKET POINT DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-5768
Practice Address - Country:US
Practice Address - Phone:864-982-9428
Practice Address - Fax:864-697-2042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-23
Last Update Date:2022-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
1912145970OtherNPI