Individual
JASON W. GUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3003 CHARLESTOWN CROSSING WAY, SUITE D, NEW ALBANY, IN 47150
(812) 945-5653
(502) 429-6157
Mailing address
9800 SHELBYVILLE RD, SUITE #220, LOUISVILLE, KY 40223-2992
(502) 429-8585
(855) 656-7325
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
01057648A
IN
207K00000X
Allergy & Immunology Physician
Primary
37904
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200444210
—
IN
01
—
50001588
PASSPORT
KY
05
—
64069198
—
KY
Enumeration date
07/26/2005
Last updated
03/15/2021
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