Dennis, John A

Dennis, John A is an individual health care provider with primary practice located at 1200 N Jefferson St , Albany GA 31701-2057. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Dennis, John A can be contacted via phone (229) 888-3970.

Contact Information

Primary practice address
1200 N Jefferson St Albany GA 31701-2057
Phone: (229) 888-3970
Fax: (229) 888-7771
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 003748 Georgia

Profile Details

NPI number 1043218878
LBN Legal business name Dennis, John A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Jul 6th, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043218878 NPPES
Georgia MEDICAID 548030581A
Georgia MEDICAID 548030581C
Georgia MEDICAID 548030581E
Georgia MEDICAID 548030581M
Georgia MEDICAID 548030581T
Georgia MEDICAID 548030581X
Georgia MEDICAID 548030581H
Georgia MEDICAID 548030581I
Georgia MEDICAID 548030581V
Georgia MEDICAID 548030581B
Georgia MEDICAID 548030581Y
Georgia MEDICAID 548030581R
Georgia MEDICAID 548030581W
Georgia MEDICAID 548030581U
Georgia MEDICAID 548030581J

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