Preston, Jon Michael

Preston, Jon Michael is an individual health care provider with primary practice located at 1810 Peachtree Industrial Blvd Suite 130, Duluth GA 30097-8180. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Preston, Jon Michael can be contacted via phone (770) 232-7100.

Contact Information

Primary practice address
1810 Peachtree Industrial Blvd Suite 130 Duluth GA 30097-8180
Phone: (770) 232-7100
Fax: (770) 232-7198
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT006667 Georgia

Profile Details

NPI number 1518024991
LBN Legal business name Preston, Jon Michael
Credentials M.S.P.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Jul 9th, 2007 - about 18 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 1518024991 NPPES
Georgia Other 7480721 AETNA PPO POS PIN
Georgia Other 9406564 AETNA PPO POS PIN
Georgia Other 52068657-004 AETNA PPO POS PIN

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