Harrison, Jonathan

Harrison, Jonathan is an individual health care provider with primary practice located at 1034 N 500 W , Provo UT 84604-3380. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Harrison, Jonathan can be contacted via phone (801) 357-4423.

Contact Information

Primary practice address
1034 N 500 W Provo UT 84604-3380
Phone: (801) 357-4423
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 17033 Nevada
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 11351657-1205 Utah
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 72627 Arizona

Profile Details

NPI number 1326331133
LBN Legal business name Harrison, Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2011
Last updated Nov 27th, 2024 - about 2 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 1326331133 NPPES
Nevada MEDICAID 1326113311
Nevada Other 72627
Nevada Other 17033

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