Dewald, Jonathon G
Dewald, Jonathon G is an sole proprietor health care provider with primary practice located at 2605 Forest Hills Rd Sw Suite B, Wilson NC 27893-4448. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Dewald, Jonathon G can be contacted via phone (252) 243-7542.Contact Information
Primary practice address
2605 Forest Hills Rd Sw Suite B
Wilson NC 27893-4448
Phone: (252) 243-7542
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 28169 | North Carolina |
Profile Details
| NPI number | 1972573293 |
|---|---|
| LBN Legal business name | Dewald, Jonathon G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Mar 4th, 2008 - about 17 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 | 1972573293 | NPPES |
| North Carolina | Other | 28378 | BLUE CROSS/BLUE SHIELD |
| North Carolina | MEDICAID | 8928378 | BLUE CROSS/BLUE SHIELD |
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