Fish, Jonathan Ross

Fish, Jonathan Ross is an individual health care provider with primary practice located at 1233 34Th St Nw , Bemidji MN 56601-5112. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Fish, Jonathan Ross can be contacted via phone (218) 333-5283.

Contact Information

Primary practice address
1233 34Th St Nw Bemidji MN 56601-5112
Phone: (218) 333-5283
Fax: (218) 333-5360
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 24357 Oklahoma
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 11109 North Dakota
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 46718 Minnesota

Profile Details

NPI number 1629117890
LBN Legal business name Fish, Jonathan Ross
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Mar 29th, 2022 - 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 1629117890 NPPES
North Dakota MEDICAID 10732

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