Hendricks, Jonathan Cleon
Hendricks, Jonathan Cleon is an individual health care provider with primary practice located at 636 Del Prado Boulevard , Cape Coral FL 33990-2695. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Hendricks, Jonathan Cleon can be contacted via phone (239) 424-2222.Contact Information
Primary practice address
636 Del Prado Boulevard
Cape Coral FL 33990-2695
Phone: (239) 424-2222
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9101920 | Florida |
Profile Details
| NPI number | 1033185699 |
|---|---|
| LBN Legal business name | Hendricks, Jonathan Cleon |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2006 |
| Last updated | Nov 29th, 2011 - about 13 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 | 1033185699 | NPPES |
| Florida | MEDICAID | 291231700 |
Popular Providers
-
Enright, Robert Anthony
507 Del Prado Blvd S , Cape Coral FL 33990-2618 -
Toledo, Nilda E
636 Del Prado Blvd , Cape Coral FL 33990-2695 -
Baker, George
1528 Del Prado Blvd S , Cape Coral FL 33990-3798 -
Padgett, Christopher
636 Del Prado Blvd , Cape Coral FL 33904 -
Rego, Sady M.
2366 Surfside Blvd # C-111 , Cape Coral FL 33991-3180 -
Phillips, Jane J
316 Del Prado Blvd S Ste. 201, Cape Coral FL 33990-1710 -
Gregg, Phillip Michael
1003 Del Prado Blvd S Suite#101, Cape Coral FL 33990-3601 -
Ovadal, Kristin J
2441 Surfside Blvd Ste 200 , Cape Coral FL 33914-3861