Mikhail, Jonathan Andrew

Mikhail, Jonathan Andrew is an individual health care provider with primary practice located at 2311 S Jackson Ave , Joplin MO 64804-1936. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Mikhail, Jonathan Andrew can be contacted via phone (417) 781-2311.

Contact Information

Primary practice address
2311 S Jackson Ave Joplin MO 64804-1936
Phone: (417) 781-2311
Fax: (417) 781-6477
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X

Profile Details

NPI number 1396222196
LBN Legal business name Mikhail, Jonathan Andrew
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2018
Last updated Jul 24th, 2018 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396222196 NPPES
Missouri Other 2018026637 STATE OF MO, CERTIFICATE/LICENSE

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