Bigwood, Jonathan M

Bigwood, Jonathan M is an individual health care provider with primary practice located at 2260 E Palmdale Blvd Ste J , Palmdale CA 93550. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bigwood, Jonathan M can be contacted via phone (661) 947-5656.

Contact Information

Primary practice address
2260 E Palmdale Blvd Ste J Palmdale CA 93550
Fax: (888) 402-0709
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X L7666 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A96090 California

Profile Details

NPI number 1285671529
LBN Legal business name Bigwood, Jonathan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Aug 28th, 2018 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285671529 NPPES
California MEDICAID OOC505360

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