Vashaw, Jonathan Kirk
Vashaw, Jonathan Kirk is an individual health care provider with primary practice located at 3801 S National Ave , Springfield MO 65807. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Vashaw, Jonathan Kirk can be contacted via phone (417) 269-6583.Contact Information
Primary practice address
3801 S National Ave
Springfield MO 65807
Phone: (417) 269-6583
Fax: (417) 269-6573
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | R2549 | Arizona |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2012006657 | Missouri |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 2018011405 | Missouri |
Profile Details
NPI number | 1982752085 |
---|---|
LBN Legal business name | Vashaw, Jonathan Kirk |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 8th, 2007 |
Last updated | Dec 27th, 2018 - about 7 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 | 1982752085 | NPPES |
Missouri | MEDICAID | 200058646 | |
Missouri | MEDICAID | 1982752085 |
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