Alvord, Jonathan Drew

Alvord, Jonathan Drew is an individual health care provider with primary practice located at 440 N. Navajo Dr , Page AZ 86040-1625. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Alvord, Jonathan Drew can be contacted via phone (928) 645-9675.

Contact Information

Primary practice address
440 N. Navajo Dr Page AZ 86040-1625
Phone: (928) 645-9675
Fax: (928) 645-2626
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5601007189 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 6121 Arizona

Profile Details

NPI number 1033512116
LBN Legal business name Alvord, Jonathan Drew
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2014
Last updated Mar 17th, 2016 - about 9 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 1033512116 NPPES
Arizona MEDICAID 100604

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