Ward, Jon

Ward, Jon is an individual health care provider with primary practice located at 2505 Harrison Ave , Panama City FL 32405-4423. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Ward, Jon can be contacted via phone (850) 233-3376.

Contact Information

Primary practice address
2505 Harrison Ave Panama City FL 32405-4423
Phone: (850) 233-3376
Fax: (850) 522-8354
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 95816 Florida

Profile Details

NPI number 1720039829
LBN Legal business name Ward, Jon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Oct 18th, 2011 - about 13 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 1720039829 NPPES
Florida Other 46665 BLUE CROSS BLUE SHEILD
Florida Other 511-14460 BLUE CROSS BLUE SHEILD
Florida MEDICAID 001101700 BLUE CROSS BLUE SHEILD
Florida MEDICAID AI172 BLUE CROSS BLUE SHEILD

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