Mahon, Jacob John

Mahon, Jacob John is an sole proprietor health care provider with primary practice located at 1744 E Mcandrews Rd Ste B , Medford OR 97504-5576. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Mahon, Jacob John can be contacted via phone (541) 654-1776.

Contact Information

Primary practice address
1744 E Mcandrews Rd Ste B Medford OR 97504-5576
Phone: (541) 654-1776
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health Service 103TH0100X 3067 Oregon
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3067 Oregon

Profile Details

NPI number 1912143306
LBN Legal business name Mahon, Jacob John
Credentials PHD; BCBA-D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 6th, 2009
Last updated Aug 16th, 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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