Aubry, Jonathan

Aubry, Jonathan is an sole proprietor health care provider with primary practice located at 1111 Trinity Ln , Bloomington IL 61704-8111. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Aubry, Jonathan can be contacted via phone (309) 661-6414.

Contact Information

Primary practice address
1111 Trinity Ln Bloomington IL 61704-8111
Phone: (309) 661-6414
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 036157079 Illinois

Profile Details

NPI number 1255866448
LBN Legal business name Aubry, Jonathan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2017
Last updated Aug 17th, 2021 - about 4 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.

Request for update

Popular Providers