Bradshaw, Jonathan James
Bradshaw, Jonathan James is an individual health care provider with primary practice located at 4500 San Pablo Rd S , Jacksonville FL 32224-1865. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Bradshaw, Jonathan James can be contacted via phone (904) 953-2000.Contact Information
Primary practice address
4500 San Pablo Rd S
Jacksonville FL 32224-1865
Phone: (904) 953-2000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA 9103821 | Florida |
Profile Details
NPI number | 1992765168 |
---|---|
LBN Legal business name | Bradshaw, Jonathan James |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 23rd, 2006 |
Last updated | Mar 11th, 2009 - about 15 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 | 1992765168 | NPPES |
Florida | MEDICAID | 292826400 |
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