Roy, Jonathan Peter

Roy, Jonathan Peter is an individual health care provider with primary practice located at 12408 Hesperia Rd Ste 2 , Victorville CA 92395-4786. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Roy, Jonathan Peter can be contacted via phone (760) 952-1222.

Contact Information

Primary practice address
12408 Hesperia Rd Ste 2 Victorville CA 92395-4786
Phone: (760) 952-1222
Fax: (760) 952-1073
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA17660 California

Profile Details

NPI number 1396891321
LBN Legal business name Roy, Jonathan Peter
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Nov 14th, 2019 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396891321 NPPES
California MEDICAID 1396891321

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