Provider Demographics
NPI:1609046234
Name:HUI, JASON C (PA)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:C
Last Name:HUI
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:2305 GENOA BUSINESS PARK DR STE 180
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48114-7007
Mailing Address - Country:US
Mailing Address - Phone:810-355-4300
Mailing Address - Fax:
Practice Address - Street 1:2305 GENOA BUSINESS PARK DR STE 180
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48114-7007
Practice Address - Country:US
Practice Address - Phone:810-355-1600
Practice Address - Fax:810-355-4967
Is Sole Proprietor?:No
Enumeration Date:2008-03-11
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5601003912363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant