Brillhart, Jon Christopher
Brillhart, Jon Christopher is an individual health care provider with primary practice located at 2929 London Blvd , Portsmouth VA 23707-3405. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Brillhart, Jon Christopher can be contacted via phone (757) 397-1201.Contact Information
Primary practice address
2929 London Blvd
Portsmouth VA 23707-3405
Phone: (757) 397-1201
Fax: (757) 398-0809
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 0110001199 | Virginia |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0110001199 | Virginia |
Profile Details
NPI number | 1417959693 |
---|---|
LBN Legal business name | Brillhart, Jon Christopher |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 1st, 2005 |
Last updated | Jun 11th, 2024 - about 5 months 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 | 1417959693 | NPPES |
Virginia | MEDICAID | 010073871 |
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