Easterling, Johnathan Grady
Easterling, Johnathan Grady is an sole proprietor health care provider with primary practice located at 1028 Wisconsin Ave , Boscobel WI 53805-1532. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Easterling, Johnathan Grady can be contacted via phone (608) 375-4466.Contact Information
Primary practice address
1028 Wisconsin Ave
Boscobel WI 53805-1532
Phone: (608) 375-4466
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 20372-40 | Wisconsin |
Profile Details
| NPI number | 1447861687 |
|---|---|
| LBN Legal business name | Easterling, Johnathan Grady |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2020 |
| Last updated | Aug 12th, 2020 - 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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