Herndon, James Datson

Herndon, James Datson is an sole proprietor health care provider with primary practice located at 69730 Highway 111 Ste 109 , Rancho Mirage CA 92270-2873. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Herndon, James Datson can be contacted via phone (760) 778-6120.

Contact Information

Primary practice address
69730 Highway 111 Ste 109 Rancho Mirage CA 92270-2873
Phone: (760) 778-6120
Fax: (607) 406-6077
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA156961 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA16694 California

Profile Details

NPI number 1689924581
LBN Legal business name Herndon, James Datson
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 18th, 2012
Last updated Oct 15th, 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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