Jetton, David Matthew

Jetton, David Matthew is an individual health care provider with primary practice located at 3401 Ludington St , Escanaba MI 49829-1300. 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. Jetton, David Matthew can be contacted via phone (906) 786-5707.

Contact Information

Primary practice address
3401 Ludington St Escanaba MI 49829-1300
Phone: (906) 786-5707
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1881034163
LBN Legal business name Jetton, David Matthew
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2013
Last updated Sep 1st, 2022 - about 4 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 1881034163 NPPES
Wisconsin MEDICAID 100055667

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