Individual
JARED MATTHEW RAMSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
647 N BROAD STREET EXT STE 107, GROVE CITY, PA 16127-4604
(724) 458-8460
(724) 458-5062
Mailing address
647 N BROAD STREET EXT STE 107, GROVE CITY, PA 16127-4604
(724) 458-8460
(724) 458-5062
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS019714
PA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
OS019714
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103245654
—
PA
01
—
14500248
CAQH
—
Enumeration date
04/07/2015
Last updated
10/12/2020
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