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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 last year

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 1386895407 NPPES
Florida Other PA9104758 LICENSE

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