Mixon, Jonathan Lamont
Mixon, Jonathan Lamont is an individual health care provider with primary practice located at 106 Heymann Blvd , Lafayette LA 70503-2322. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Mixon, Jonathan Lamont can be contacted via phone (337) 504-4279.Contact Information
Primary practice address
106 Heymann Blvd
Lafayette LA 70503-2322
Phone: (337) 504-4279
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP08044 | Louisiana |
Profile Details
NPI number | 1508260720 |
---|---|
LBN Legal business name | Mixon, Jonathan Lamont |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 17th, 2014 |
Last updated | Jan 12th, 2015 - about 9 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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