Beitler, Jonathan Jay
Beitler, Jonathan Jay is an individual health care provider with primary practice located at 1365 Clifton Rd Ne Department Of Radiation Oncology, Atlanta GA 30322-1013. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Aerospace Medicine, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Beitler, Jonathan Jay can be contacted via phone (404) 778-5525.Contact Information
Primary practice address
1365 Clifton Rd Ne Department Of Radiation Oncology
Atlanta GA 30322-1013
Phone: (404) 778-5525
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Aerospace Medicine | 2083A0100X | 154501 | New York |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 043800 | Connecticut |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | G63032 | California |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 154501 | New York |
| Allopathic & Osteopathic Physicians / Aerospace Medicine | 2083A0100X | 043800 | Connecticut |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 60043 | Georgia |
Profile Details
| NPI number | 1265536635 |
|---|---|
| LBN Legal business name | Beitler, Jonathan Jay |
| Credentials | MD, MBA, FACR |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2006 |
| Last updated | Nov 19th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265536635 | NPPES |
| New York | MEDICAID | 01191322 | |
| New York | MEDICAID | 467640604C |
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