Hollis, Jonathan

Hollis, Jonathan is an individual health care provider with primary practice located at 1525 W Caro Rd , Caro MI 48723-9686. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as his primary health care specialty. Hollis, Jonathan can be contacted via phone (989) 672-2100.

Contact Information

Primary practice address
1525 W Caro Rd Caro MI 48723-9686
Phone: (989) 672-2100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 4704290748 Michigan

Profile Details

NPI number 1205298262
LBN Legal business name Hollis, Jonathan
Credentials F-NP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2016
Last updated Feb 7th, 2019 - about 7 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 1205298262 NPPES
Michigan MEDICAID 1659326395
Michigan MEDICAID 1689022469

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