Individual
JASON P. MAKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6202
(610) 402-9099
(610) 402-9029
Mailing address
1245 S. CEDAR CREST BLVD., SUITE #301, ALLENTOWN, PA 18103
(610) 402-9099
(610) 402-9029
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-533186
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
074745
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027799870001
—
PA
01
—
11766023
CAQH
PA
01
—
1552963
GATEWAY
PA
01
—
1794626
FIRST PRIORITY
PA
01
—
2333
GEISINGER
PA
01
—
2631636000
IBC
PA
01
—
50055370
CAPITAL ADVANTAGE
PA
01
—
9669463
AETNA
PA
Enumeration date
02/16/2006
Last updated
03/25/2013
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