Gombola, Jonathan

Gombola, Jonathan is an individual health care provider with primary practice located at 6401 France Ave S , Edina MN 55435. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Gombola, Jonathan can be contacted via phone (763) 559-3779.

Contact Information

Primary practice address
6401 France Ave S Edina MN 55435
Phone: (763) 559-3779
Fax: (763) 450-3986
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 55760-20 Wisconsin
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 50832 Minnesota

Profile Details

NPI number 1881898955
LBN Legal business name Gombola, Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2007
Last updated May 31st, 2018 - about 7 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 1881898955 NPPES
Wisconsin Other 61154 DEAN HEALTH INSURANCE

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