Proffer, Patrick Jonathan

Proffer, Patrick Jonathan is an individual health care provider with primary practice located at 1611 Wallace Blvd , Amarillo TX 79106-1799. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Proffer, Patrick Jonathan can be contacted via phone (806) 352-1185.

Contact Information

Primary practice address
1611 Wallace Blvd Amarillo TX 79106-1799
Phone: (806) 352-1185
Fax: (806) 352-4987
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X M0532 Texas

Profile Details

NPI number 1952399206
LBN Legal business name Proffer, Patrick Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Feb 20th, 2014 - about 10 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 1952399206 NPPES
Texas MEDICAID 174819602
Texas Other P00418009

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