Prince, John D
Prince, John D is an individual health care provider with primary practice located at 1 Mercado St Ste 200, Durango CO 81301-7308. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Prince, John D can be contacted via phone (970) 382-9500.Contact Information
Primary practice address
1 Mercado St Ste 200
Durango CO 81301-7308
Phone: (970) 382-9500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA.0007004 | Colorado |
Profile Details
| NPI number | 1386895407 |
|---|---|
| LBN Legal business name | Prince, John D |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 7th, 2008 |
| Last updated | Feb 2nd, 2023 - about 2 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 | 1386895407 | NPPES |
| Florida | Other | PA9104758 | LICENSE |
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