Jonathan Eatherly, is a
Student In An Organized Health Care Education/training Program based in Spokane, Washington. Jonathan Eatherly is licensed to practice in * (Not Available) (license number ) and his current practice location is
2118 E Sprague Ave, Spokane, Washington. He can be reached at his office (for appointments etc.) via phone at
(509) 838-4651.
NPI number for Jonathan Eatherly is 1104559038 and his current mailing address is 107 S Division St, Spokane, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104559038.
Healthcare Provider's Profile
| Full Name | Jonathan Eatherly |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 2118 E Sprague Ave, Spokane, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1104559038
- Provider Enumeration Date: 07/07/2022
- Last Update Date: 04/28/2023
Medical Identifiers
Medical identifiers for Jonathan Eatherly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104559038 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | CG61320912 (Washington) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jonathan Eatherly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jonathan Eatherly,
107 S Division St,
Spokane, WA 99202-1510
Ph: (509) 838-4651 | Jonathan Eatherly,
2118 E Sprague Ave,
Spokane, WA 99202-3125
Ph: (509) 838-4651 |
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