Individual
JASON O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPRS
Contact information
Practice address
504 GRAND VALLEY BLVD, MARTINSVILLE, IN 46151-5883
(609) 864-5860
Mailing address
110 E BUCHANAN ST, PLAINFIELD, IN 46168-1400
(765) 810-2458
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
3388
IN
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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