Parker, Jeffery Mitchell
Parker, Jeffery Mitchell is an sole proprietor health care provider with primary practice located at 1133 College Ave Ste G100 , Manhattan KS 66502-2756. He recently has 2 registered licenses in different health care specialties including 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. Parker, Jeffery Mitchell can be contacted via phone (785) 537-8710.Contact Information
Primary practice address
1133 College Ave Ste G100
Manhattan KS 66502-2756
Phone: (785) 537-8710
Fax: (785) 537-0562
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 15-02535 | Kansas |
Profile Details
NPI number | 1487224036 |
---|---|
LBN Legal business name | Parker, Jeffery Mitchell |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 27th, 2021 |
Last updated | Nov 1st, 2021 - about 3 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 | 1487224036 | NPPES |
Kansas | Other | 15418963 | CAQH ID 15418963 |
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