Individual
DR. JASON L ENSMINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 HOLBROOK ST, DANVILLE, VA 24541-1732
(434) 792-7765
Mailing address
101 HOLBROOK STREET, DANVILLE, VA 24541
(434) 792-7765
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101232941
VA
207V00000X
Obstetrics & Gynecology Physician
Primary
0101232941
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010019567
—
VA
01
—
466917
ANTHEM
VA
Enumeration date
12/19/2006
Last updated
10/08/2014
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