Jones, Glen A
Jones, Glen A is an individual health care provider with primary practice located at 1700 E Parks Hwy Suite 200, Wasilla AK 99654-7352. 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. Jones, Glen A can be contacted via phone (907) 373-6055.Contact Information
Primary practice address
1700 E Parks Hwy Suite 200
Wasilla AK 99654-7352
Phone: (907) 373-6055
Fax: (907) 373-6077
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 303 | Alaska |
Profile Details
| NPI number | 1053577544 |
|---|---|
| LBN Legal business name | Jones, Glen A |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2008 |
| Last updated | Jun 23rd, 2009 - about 15 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 | 1053577544 | NPPES |
| Alaska | Other | 303 | ALASKA STATE LICENSE NUMBER |
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