Mckinney, Jonathan Lucero

Mckinney, Jonathan Lucero is an sole proprietor health care provider with primary practice located at 825 Chalkstone Ave , Providence RI 02908-4728. 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. Mckinney, Jonathan Lucero can be contacted via phone (401) 456-2000.

Contact Information

Primary practice address
825 Chalkstone Ave Providence RI 02908-4728
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA01489 Rhode Island

Profile Details

NPI number 1144951369
LBN Legal business name Mckinney, Jonathan Lucero
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2022
Last updated Mar 26th, 2024 - about 2 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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