Shores, Jonathan Grant
Shores, Jonathan Grant is an sole proprietor health care provider with primary practice located at 3210 Highway 77 , Panama City FL 32405-5022. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Shores, Jonathan Grant can be contacted via phone (850) 769-2220.Contact Information
Primary practice address
3210 Highway 77
Panama City FL 32405-5022
Phone: (850) 769-2220
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH10293 | Florida |
Profile Details
| NPI number | 1184916934 |
|---|---|
| LBN Legal business name | Shores, Jonathan Grant |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 12th, 2011 |
| Last updated | Feb 20th, 2013 - about 12 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 | 1184916934 | NPPES |
| Florida | Other | 220EM | BLUE CROSS BLUE SHIELD |
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