Jones, Johnny Michael

Jones, Johnny Michael is an individual health care provider with primary practice located at 715 Seafarers Way Ste 201 B, Anacortes WA 98221-2257. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Other Service Providers / Specialist is his primary health care specialty. Jones, Johnny Michael can be contacted via phone (360) 588-1460.

Contact Information

Primary practice address
715 Seafarers Way Ste 201 B Anacortes WA 98221-2257
Phone: (360) 588-1460
Fax: (360) 588-1473
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X PA10004470 Washington
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10004470 Washington

Profile Details

NPI number 1174692198
LBN Legal business name Jones, Johnny Michael
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
Last updated Sep 1st, 2011 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174692198 NPPES
Washington Other 277551 STATE OF WA L & I
Washington MEDICAID 1174822159 STATE OF WA L & I
Washington MEDICAID 1174692198 STATE OF WA L & I

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