Individual
JASON HUFFMAN
Active
Individual
JASON HUFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041419325
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209.011684
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01383605
RAILROAD MEDICARE
IL
Enumeration date
08/07/2014
Last updated
03/30/2017
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