Herron, Johnathon R

Herron, Johnathon R is an sole proprietor health care provider with primary practice located at 4500 13Th St , Gulfport MS 39501-2515. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as his primary health care specialty. Herron, Johnathon R can be contacted via phone (228) 867-4000.

Contact Information

Primary practice address
4500 13Th St Gulfport MS 39501-2515
Phone: (228) 867-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X

Profile Details

NPI number 1639736432
LBN Legal business name Herron, Johnathon R
Credentials CSFA, CST
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 28th, 2019
Last updated Mar 15th, 2021 - about 3 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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