Provider Demographics
NPI:1104534759
Name:HEJL, JASON ANDREW
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:ANDREW
Last Name:HEJL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3815 N BENNINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64117-7803
Mailing Address - Country:US
Mailing Address - Phone:816-769-9421
Mailing Address - Fax:
Practice Address - Street 1:3815 N BENNINGTON AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64117-7803
Practice Address - Country:US
Practice Address - Phone:816-769-9421
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-14
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician