Choe, Jonathan Y

Choe, Jonathan Y is an individual health care provider with primary practice located at 1179 N Mcdowell Blvd , Petaluma CA 94954-6559. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Choe, Jonathan Y can be contacted via phone (707) 559-7500.

Contact Information

Primary practice address
1179 N Mcdowell Blvd Petaluma CA 94954-6559
Phone: (707) 559-7500
Fax: (707) 559-7620
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A80237 California

Profile Details

NPI number 1518959170
LBN Legal business name Choe, Jonathan Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Sep 20th, 2019 - about 5 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 1518959170 NPPES
California MEDICAID FHC70696F
California MEDICAID BCP70696F
California MEDICAID HAP70696F
California MEDICAID 1518959170
California Other ZZZ18742Z

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