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Contact Information

JONATHON A SHORT, PA-C
46961 VAN DYKE AVE
SHELBY CHARTER TOWNSHIP, MI48317
 Phone: 586-991-5205
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JONATHON A SHORT · (Male)

NPI # 1326514696
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/15/2018
Last updated 10/15/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5601008879
Hospital affiliation(s)
  • GENESYS REGIONAL MEDICAL CENTER - HEALTH PARK - (Acute Care)
    ONE GENESYS PARKWAY
    GRAND BLANC, MI 48439
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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