Johnson, Jared
Johnson, Jared is an individual health care provider with primary practice located at 1888 Antilley Rd Ste 200 , Abilene TX 79606-1312. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty.Contact Information
Primary practice address
1888 Antilley Rd Ste 200
Abilene TX 79606-1312
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | PA12985 | Texas |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Washington | |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA12985 | Texas |
Profile Details
NPI number | 1528524139 |
---|---|
LBN Legal business name | Johnson, Jared |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 19th, 2019 |
Last updated | Feb 24th, 2021 - about 4 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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