Washburn, Jon R.

Washburn, Jon R. is an individual health care provider with primary practice located at 525 West Acacia Street , Stockton CA 95203-2405. He recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Personal Emergency Response Attendant, Allopathic & Osteopathic Physicians / Emergency Medicine. Emergency Medical Service Providers / Personal Emergency Response Attendant is his primary health care specialty. Washburn, Jon R. can be contacted via phone (209) 944-5550.

Contact Information

Primary practice address
525 West Acacia Street Stockton CA 95203-2405
Phone: (209) 944-5550
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X PA15880 California
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 02A5306 California

Profile Details

NPI number 1417966466
LBN Legal business name Washburn, Jon R.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Apr 22nd, 2008 - about 16 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 1417966466 NPPES
California MEDICAID PA15880

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