London, Jonathan Everett
London, Jonathan Everett is an individual health care provider with primary practice located at 921 14Th Ave , Longview WA 98632-2316. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. London, Jonathan Everett can be contacted via phone (360) 423-0203.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 60167235 | Washington |
Profile Details
NPI number | 1508927120 |
---|---|
LBN Legal business name | London, Jonathan Everett |
Credentials | M.S. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 13th, 2006 |
Last updated | Feb 5th, 2019 - about 6 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 | 1508927120 | NPPES |
Washington | MEDICAID | 2098147 |
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