Dejesus-Rolenson, Jose Miguel

Dejesus-Rolenson, Jose Miguel is an individual health care provider with primary practice located at 1000 Veterans Dr , Jackson OH 45640-9586. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dejesus-Rolenson, Jose Miguel can be contacted via phone (740) 395-8090.

Contact Information

Primary practice address
1000 Veterans Dr Jackson OH 45640-9586
Phone: (740) 395-8090
Fax: (740) 395-8197
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34.012543 Ohio

Profile Details

NPI number 1184990368
LBN Legal business name Dejesus-Rolenson, Jose Miguel
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2012
Last updated Nov 19th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184990368 NPPES
Ohio MEDICAID 0197993

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