Individual provider · Type 1 NPI

Jason Fanselau, CNIM

Electroneurodiagnostic Specialist/Technologist · Kansas City, MO

NPI number 1942654280 Active

Practice location

128 W 13th St, Apt 1011
Kansas City, MO 64105-1726

Specialties and licenses

TaxonomyCodeLicense
Electroneurodiagnostic Specialist/Technologist Primary 246ZE0600XNone listed

Electroneurodiagnostic Specialist/Technologist: Definition to come...

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About NPI 1942654280

Jason Fanselau, CNIM's National Provider Identifier is 1942654280, issued on Apr 22, 2016. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Kansas City, MO. The record was last updated on Apr 22, 2016.