Stobaugh, Jonathan K

Stobaugh, Jonathan K is an individual health care provider with primary practice located at 401 E Highland Ave Suite 251, San Bernardino CA 92404-3803. 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. Stobaugh, Jonathan K can be contacted via phone (909) 882-4605.

Contact Information

Primary practice address
401 E Highland Ave Suite 251 San Bernardino CA 92404-3803
Phone: (909) 882-4605
Fax: (909) 475-2680
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10962 California

Profile Details

NPI number 1063447647
LBN Legal business name Stobaugh, Jonathan K
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Sep 21st, 2017 - about 8 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 1063447647 NPPES
California Other PA10962 LICENSE

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