Garretson, Jonathan G

Garretson, Jonathan G is an sole proprietor health care provider with primary practice located at 5724 Clarkston Rd , Clarkston MI 48348-3715. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Garretson, Jonathan G can be contacted via phone (248) 241-6537.

Contact Information

Primary practice address
5724 Clarkston Rd Clarkston MI 48348-3715
Phone: (248) 241-6537
Fax: (248) 241-6654
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 4901004259 Michigan

Profile Details

NPI number 1992885578
LBN Legal business name Garretson, Jonathan G
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2006
Last updated Sep 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 1992885578 NPPES
Michigan MEDICAID 4801369

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