NPI 1790242527 · live from the CMS NPI Registry
Jonathan William Herschel Eubanks, Physician Assistant
Physician Assistant in Minot, ND. National Provider Identifier 1790242527, active.
NPI record
| NPI | 1790242527 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 10 Missile Ave, Minot, ND 58705 |
| Practice phone | 701-723-5633 |
| Enumerated | February 28, 2019 |
| Last updated | July 15, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | — |
| Military Health Care Provider | 171000000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.