White, Jonathan Stephen

White, Jonathan Stephen is an individual health care provider with primary practice located at 144 Jack Farrar Ln , Tullahoma TN 37388-2398. 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. White, Jonathan Stephen can be contacted via phone (931) 455-0120.

Contact Information

Primary practice address
144 Jack Farrar Ln Tullahoma TN 37388-2398
Phone: (931) 455-0120
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA713 Tennessee

Profile Details

NPI number 1922169572
LBN Legal business name White, Jonathan Stephen
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Aug 13th, 2015 - about 11 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 1922169572 NPPES
Tennessee MEDICAID 1516338
Tennessee Other P01328036

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