Harrison, Jonathan
Harrison, Jonathan is an sole proprietor health care provider with primary practice located at 2020 Palomino Ln Ste 100 , Las Vegas NV 89106-4894. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Harrison, Jonathan can be contacted via phone (702) 759-8600.Contact Information
Primary practice address
2020 Palomino Ln Ste 100
Las Vegas NV 89106-4894
Phone: (702) 759-8600
Fax: (702) 384-1815
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 72627 | Arizona |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 11351657-1205 | Utah |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 17033 | Nevada |
Profile Details
NPI number | 1326331133 |
---|---|
LBN Legal business name | Harrison, Jonathan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 26th, 2011 |
Last updated | Oct 4th, 2019 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1326331133 | NPPES |
Nevada | MEDICAID | 1326113311 | |
Nevada | Other | 17033 | |
Nevada | Other | 72627 |
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