Mix, Jonathan Jacob

Mix, Jonathan Jacob is an sole proprietor health care provider with primary practice located at 2298 W Horizon Ridge Pkwy Suite 201, Henderson NV 89052-2696. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Mix, Jonathan Jacob can be contacted via phone (702) 363-7284.

Contact Information

Primary practice address
2298 W Horizon Ridge Pkwy Suite 201 Henderson NV 89052-2696
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1881933158
LBN Legal business name Mix, Jonathan Jacob
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2013
Last updated Feb 6th, 2013 - about 13 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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