Harley, Jovon

Harley, Jovon is an sole proprietor health care provider with primary practice located at 13873 Park Center Rd Ste 150L , Herndon VA 20171-3248. He recently has 5 registered licenses in different health care specialties including Emergency Medical Service Providers / Emergency Medical Technician, Basic, Other Service Providers / Specialist, Agencies / Home Health, Nursing Service Related Providers / Attendant Care Provider, Managed Care Organizations / Point of Service. Managed Care Organizations / Point of Service is his primary health care specialty. Harley, Jovon can be contacted via phone (703) 479-5259.

Contact Information

Primary practice address
13873 Park Center Rd Ste 150L Herndon VA 20171-3248
Phone: (703) 479-5259
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X
Other Service Providers / Specialist 174400000X
Agencies / Home Health 251E00000X
Nursing Service Related Providers / Attendant Care Provider 3747A0650X
Managed Care Organizations / Point of Service 305S00000X

Profile Details

NPI number 1780307058
LBN Legal business name Harley, Jovon
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2022
Last updated Sep 22nd, 2022 - about 2 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 1780307058 NPPES
Delaware MEDICAID 872269864

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