National Provider Identifier Database

AARON K JONAN MEMORIAL CLINIC INC
Rural Health


Contact Information

AARON K. JONAN MEMORIAL CLINIC INC.
832 HIGHWAY 15 N
JACKSON, KY41339-8284
Phone: 606-666-5142
Fax: 606-666-4172
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X
Family 363LF0000X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for AARON K. JONAN MEMORIAL CLINIC INC.

NPI Number 1477569226
Legal business name
LBN
AARON K. JONAN MEMORIAL CLINIC INC.
Authorized official DJIEN SO - (ADMINISTRATOR/ACCESS MANAGER)
Entity Organization
Organization subpart No
Enumeration date 08/01/2006
Last updated 05/09/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • KY License #: 3006826
  • KY License #: 43629
  • KY License #: 900029
  • KY Medicaid: 7100336880

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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