Verceles, Jon Dabu

Verceles, Jon Dabu is an individual health care provider with primary practice located at 3009 New Bern Ave , Raleigh NC 27610-1214. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Verceles, Jon Dabu can be contacted via phone (919) 232-5020.

Contact Information

Primary practice address
3009 New Bern Ave Raleigh NC 27610-1214
Phone: (919) 232-5020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-03175 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0010-03175 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA824 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0010-03175 North Carolina

Profile Details

NPI number 1841263324
LBN Legal business name Verceles, Jon Dabu
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Sep 1st, 2020 - about 5 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 1841263324 NPPES
Nevada MEDICAID 100502898
Nevada Other VWCHKL
Nevada Other 100500023

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