Pace, Jonathan

Pace, Jonathan is an sole proprietor health care provider with primary practice located at 4683 Redan Rd , Stone Mountain GA 30083. He recently has only one registered license in Emergency Medical Service Providers / Emergency Medical Technician, Intermediate, which is considered as his primary health care specialty. Pace, Jonathan can be contacted via phone (678) 492-5466.

Contact Information

Primary practice address
4683 Redan Rd Stone Mountain GA 30083
Phone: (678) 492-5466
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Intermediate 146M00000X I042897 Georgia

Profile Details

NPI number 1790247070
LBN Legal business name Pace, Jonathan
Credentials EMT-I
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2019
Last updated Apr 4th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790247070 NPPES
Georgia Other I042897 NA

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