Ahlstrom, Jon W
Ahlstrom, Jon W is an sole proprietor health care provider with primary practice located at 550 E 1400 N Suite I, Logan UT 84341-2406. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Ahlstrom, Jon W can be contacted via phone (435) 753-1545.Contact Information
Primary practice address
550 E 1400 N Suite I
Logan UT 84341-2406
Phone: (435) 753-1545
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | CP209732 | Oregon |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 49187661205 | Utah |
Profile Details
| NPI number | 1437146065 |
|---|---|
| LBN Legal business name | Ahlstrom, Jon W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 29th, 2005 |
| Last updated | Apr 18th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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