Benavides, Jonathan Alexander
Benavides, Jonathan Alexander is an sole proprietor health care provider with primary practice located at 6506 Lazy Willow Court , Corpus Christi TX 78412-4857. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Benavides, Jonathan Alexander can be contacted via phone (361) 236-9800.Contact Information
Primary practice address
6506 Lazy Willow Court
Corpus Christi TX 78412-4857
Phone: (361) 236-9800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 2000017616 | Texas |
Profile Details
| NPI number | 1336555895 |
|---|---|
| LBN Legal business name | Benavides, Jonathan Alexander |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2014 |
| Last updated | Jul 5th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336555895 | NPPES |
| Texas | Other | 2000017616 | ATHLETIC TRAINER |
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