Drake, Jon

Drake, Jon is an sole proprietor health care provider with primary practice located at 7001 Prospect Pl Ne , Albuquerque NM 87110-4311. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as his primary health care specialty. Drake, Jon can be contacted via phone (505) 764-0036.

Contact Information

Primary practice address
7001 Prospect Pl Ne Albuquerque NM 87110-4311
Phone: (505) 764-0036
Fax: (505) 764-0446
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 80582 Texas

Profile Details

NPI number 1124337803
LBN Legal business name Drake, Jon
Credentials AUD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2010
Last updated Jan 23rd, 2020 - about 4 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 1124337803 NPPES
New Mexico MEDICAID NONE ASSIGNED

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