Jacon, Stephen William

Jacon, Stephen William is an sole proprietor health care provider with primary practice located at 29 Muirfield Court , Newnan GA 30265. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is his primary health care specialty. Jacon, Stephen William can be contacted via phone (937) 546-2305.

Contact Information

Primary practice address
29 Muirfield Court Newnan GA 30265
Phone: (937) 546-2305
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1356823363
LBN Legal business name Jacon, Stephen William
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 5th, 2018
Last updated Jun 12th, 2019 - about 6 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.

Request for update

Popular Providers