Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON S SO, DO
ActiveJASON S SO, DO is a Family Medicine healthcare provider located in LAKE GENEVA, Wisconsin. NPI 1508078643 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LAKE GENEVA, WI
Registration Details
- NPI Number
- 1508078643
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 3, 2007 (19.09530150348 yrs)
- Last Updated
- Aug 29, 2019
- Licenses
-
036119919 (IL)63015-21 (WI)
Practice Information
- Address
-
350 PELLER RDLAKE GENEVA, WI, 531474543Browse WI providers · Browse ZIP 53147
- Phone
- 2622450221
- Fax
- 2622490633
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in LAKE GENEVA, WI
| Name | Credential | NPI |
|---|---|---|
| DR. GREG JAMES GERBER | MD | 1831204916 |
| DR. LAURA M ROSOL | MD | 1598872855 |
| DR. GARTH R SCHNEIDER | MD | 1730296021 |
| DR. JAIME QUEZADA | MD | 1356432660 |
| BRITTON W KOLAR | MD | 1114076486 |
| GARY MYRON | M.D. | 1386773174 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.