Individual
JASON NEAL RATLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2222 PHILADELPHIA DR, DAYTON, OH 45406-1813
(937) 276-8316
(937) 567-4163
Mailing address
PO BOX 640446, CINCINNATI, OH 45264-0446
(717) 263-5562
(717) 263-1566
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN330055
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000749150
ANTHEM
OH
05
—
0059752
—
OH
01
—
LINKED
TRICARE / NON-NETWORK
OH
Enumeration date
11/28/2011
Last updated
06/29/2012
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