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Contact Information

JERRY A JOHNSTONE, PHYSICIAN ASSISTANT
1201 ENTERPRISE AVE
APT 610
LAKE CITY, TX77573
 Phone: 806-396-5583
 Fax: 806-366-2713
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JERRY A JOHNSTONE · (Male)

NPI # 1326370420
Status Active
Credentials PHYSICIAN ASSISTANT
Entity Individual
Enumeration date 02/01/2010
Last updated 02/01/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • TX License # PA01624
Hospital affiliation(s) Not Available
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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