Provider Demographics
NPI:1083166318
Name:SCHECK, JASON (LPN)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:
Last Name:SCHECK
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:JASON
Other - Middle Name:
Other - Last Name:SCHECK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPN
Mailing Address - Street 1:6503 N MILITARY TRL APT 2303
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33496-2634
Mailing Address - Country:US
Mailing Address - Phone:440-773-7218
Mailing Address - Fax:
Practice Address - Street 1:670 W FIREWEED LN STE 160
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-2561
Practice Address - Country:US
Practice Address - Phone:907-770-0862
Practice Address - Fax:844-845-1120
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-03
Last Update Date:2019-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN5221967164W00000X
OR201408004LPN164W00000X
AK145863164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse