Godfrey, Jonathan D
Godfrey, Jonathan D is an individual health care provider with primary practice located at 1151 Hospital Way Building A, Pocatello ID 83201-5091. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Godfrey, Jonathan D can be contacted via phone (208) 232-6616.Contact Information
Primary practice address
1151 Hospital Way Building A
Pocatello ID 83201-5091
Phone: (208) 232-6616
Fax: (208) 232-6618
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | M-11289 | Idaho |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 2010012205 | Missouri |
Profile Details
NPI number | 1649474719 |
---|---|
LBN Legal business name | Godfrey, Jonathan D |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 13th, 2007 |
Last updated | Jun 25th, 2013 - about 11 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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