Individual
MR. JASON BERNARD HOWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, LAT
Contact information
Practice address
4602 EASTPARK BLVD, MADISON, WI 53718-2002
(608) 265-3207
(608) 662-4545
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
1152
WI
363A00000X
Physician Assistant
Primary
3812 - 23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1152
NATA-BOC LICENSED ATHLETIC TRAINER
WI
Enumeration date
11/08/2016
Last updated
07/12/2023
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