Jeter, Jonathan P

Jeter, Jonathan P is an individual health care provider with primary practice located at 576 Jefferson Ave , Fort Eustis VA 23604-1373. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Jeter, Jonathan P can be contacted via phone (757) 314-7500.

Contact Information

Primary practice address
576 Jefferson Ave Fort Eustis VA 23604-1373
Phone: (757) 314-7500
Fax: (757) 314-7977
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X R1052 Texas

Profile Details

NPI number 1689056228
LBN Legal business name Jeter, Jonathan P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2015
Last updated Oct 27th, 2023 - about 3 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 1689056228 NPPES
Texas Other R1052 TEXAS MEDICAL LICENSE
Texas Other 0101279523 TEXAS MEDICAL LICENSE

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