Fetherston, Aubrey Jordan

Fetherston, Aubrey Jordan is an individual health care provider with primary practice located at 520 S Santa Fe Ave Suite 300, Salina KS 67401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Fetherston, Aubrey Jordan can be contacted via phone (785) 823-7470.

Contact Information

Primary practice address
520 S Santa Fe Ave Suite 300 Salina KS 67401
Phone: (785) 823-7470
Fax: (785) 823-0506
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 15-01579 Kansas

Profile Details

NPI number 1396099057
LBN Legal business name Fetherston, Aubrey Jordan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2012
Last updated Mar 4th, 2020 - about 5 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 1396099057 NPPES
Kansas MEDICAID 200971050B

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