Degroat, Jonathan Thomas

Degroat, Jonathan Thomas is an individual health care provider with primary practice located at 6531 Channelside Dr , New Port Richey FL 34652-2061. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Degroat, Jonathan Thomas can be contacted via phone (941) 725-1868.

Contact Information

Primary practice address
6531 Channelside Dr New Port Richey FL 34652-2061
Phone: (941) 725-1868
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME114356 Florida

Profile Details

NPI number 1730400540
LBN Legal business name Degroat, Jonathan Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2010
Last updated Jan 19th, 2014 - about 10 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 1730400540 NPPES
Florida MEDICAID 009326800

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