Entwisle, Jonathan

Entwisle, Jonathan is an sole proprietor health care provider with primary practice located at 2452 Watson Ct , Palo Alto CA 94303-3216. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Entwisle, Jonathan can be contacted via phone (650) 723-6995.

Contact Information

Primary practice address
2452 Watson Ct Palo Alto CA 94303-3216
Phone: (650) 723-6995
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1-107906 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X CRNA95000308 California

Profile Details

NPI number 1972934719
LBN Legal business name Entwisle, Jonathan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2013
Last updated Sep 14th, 2015 - 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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