Jason A. Squires
Orthopaedic Surgeon Orthopaedic Spine Surgeon
1900 Wealthy St Se Ste. 290
Grand Rapids
, Michigan 49506-2969
Jason A. Squires
Orthopaedic Surgeon Orthopaedic Spine Surgeon
1900 Wealthy St Se Ste. 290
Grand Rapids
, Michigan 49506-2969
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About
Features
Specialties
- Orthopaedic Surgeon
- Orthopaedic Spine Surgeon
Languages spoken
- English
Location
First Address
- Jason A. Squires
- 100 Michigan St Ne Mc845
- Grand Rapids, MI
- Zip : 49503-2560
- Phone :
Second Address
- Jason A. Squires
- 1900 Wealthy St Se Ste. 290
- Grand Rapids, MI
- Zip : 49506-2969
- Phone : (616) 267-7293
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgeon | 247792 | NY |
| Y | 207XS0117X | Orthopaedic Spine Surgeon | 5101015566 | MI |
National Provider Identifier
| NPI | 1164615688 |
|---|---|
| Provider Name | Jason A. Squires |
| First Address | Grand Rapids, MI 49503-2560 |
| Second Address | Grand Rapids, MI 49506-2969 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/08/2007 |
| Last Update Date | 02/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| RB9196 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.