Redd, Jonathan
Redd, Jonathan is an individual health care provider with primary practice located at 1515 W Fir St , Portales NM 88130-5703. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Redd, Jonathan can be contacted via phone (575) 356-6695.Contact Information
Primary practice address
1515 W Fir St
Portales NM 88130-5703
Phone: (575) 356-6695
Fax: (575) 356-5948
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 53956 | New Mexico |
Profile Details
| NPI number | 1366918963 |
|---|---|
| LBN Legal business name | Redd, Jonathan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 22nd, 2018 |
| Last updated | Oct 22nd, 2018 - about 6 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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