Steele, Johnathan David

Steele, Johnathan David is an individual health care provider with primary practice located at 2904 Arkansas Blvd , Texarkana AR 71854-2536. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Steele, Johnathan David can be contacted via phone (870) 773-4655.

Contact Information

Primary practice address
2904 Arkansas Blvd Texarkana AR 71854-2536
Phone: (870) 773-4655
Fax: (870) 772-4650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 57816 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-296 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA050593 Texas

Profile Details

NPI number 1336237635
LBN Legal business name Steele, Johnathan David
Credentials MS, MMS, LPC, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Mar 7th, 2023 - about 3 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 1336237635 NPPES
Arkansas MEDICAID 440146301

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