Provider Demographics
NPI:1891152336
Name:HELM, JONATHAN GRANT (RNCS,T, CNCT)
Entity Type:Individual
Prefix:MR
First Name:JONATHAN
Middle Name:GRANT
Last Name:HELM
Suffix:
Gender:M
Credentials:RNCS,T, CNCT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:807 VIA SONOMA
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-4322
Mailing Address - Country:US
Mailing Address - Phone:903-288-5850
Mailing Address - Fax:
Practice Address - Street 1:807 VIA SONOMA
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-4322
Practice Address - Country:US
Practice Address - Phone:903-288-5850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-27
Last Update Date:2016-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX877246ZE0600X
NV277246ZE0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic