Blevins, Jonathan William
Blevins, Jonathan William is an sole proprietor health care provider with primary practice located at 39000 Bob Hope Dr Dept Of , Rancho Mirage CA 92270-3221. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Blevins, Jonathan William can be contacted via phone (949) 263-8620.Contact Information
Primary practice address
39000 Bob Hope Dr Dept Of
Rancho Mirage CA 92270-3221
Phone: (949) 263-8620
Fax: (800) 409-7005
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MT189054 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | A117764 | California |
Profile Details
| NPI number | 1477710127 |
|---|---|
| LBN Legal business name | Blevins, Jonathan William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 20th, 2008 |
| Last updated | Jul 9th, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477710127 | NPPES |
| California | MEDICAID | 1477710127 | |
| California | Other | 00A1177640 |
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