Provider Demographics
NPI:1992196612
Name:JAIN, JOHN KENNETH AYER JR (RVT)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:KENNETH AYER
Last Name:JAIN
Suffix:JR
Gender:M
Credentials:RVT
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Mailing Address - Street 1:9501 LA PLAYA ST NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-3409
Mailing Address - Country:US
Mailing Address - Phone:505-350-3397
Mailing Address - Fax:505-323-7980
Practice Address - Street 1:9501 LA PLAYA ST NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-3409
Practice Address - Country:US
Practice Address - Phone:505-350-3397
Practice Address - Fax:505-323-7980
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-17
Last Update Date:2015-02-17
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular Sonography
No246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonography
No2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography