Individual
DR. JASON M PROSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
543 TAYLOR AVE, COLUMBUS, OH 43203-1278
(614) 293-4997
(614) 293-3073
Mailing address
700 ACKERMAN RD, SUITE 385, COLUMBUS, OH 43202-1559
(614) 947-3700
(614) 947-3771
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
35096294
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
OH
Enumeration date
08/07/2007
Last updated
06/07/2012
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