Griffin, Jonathan Spencer

Griffin, Jonathan Spencer is an individual health care provider with primary practice located at 1453 Onioni St , Kailua HI 96734-3760. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Griffin, Jonathan Spencer can be contacted via phone (808) 797-1019.

Contact Information

Primary practice address
1453 Onioni St Kailua HI 96734-3760
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MR-1020 Idaho

Profile Details

NPI number 1194988543
LBN Legal business name Griffin, Jonathan Spencer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2008
Last updated Jun 17th, 2024 - about last year

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 1194988543 NPPES
Other 12731 MT STATE LICENSE
Other MD-22888-0 MT STATE LICENSE

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