Jonathan G Wash Dpm Pa
LBN: Jonathan G Wash Dpm Pa
Jonathan G Wash Dpm Pa is an health care organization with primary practice located at 6609 Sanger Ave , Waco TX 76710-4252. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Suppliers / Durable Medical Equipment & Medical Supplies. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is the primary health care specialty.
Jonathan G Wash Dpm Pa can be contacted via phone (254) 741-1824, or through Wash, Jonathan Gordon via phone (254) 741-1824.
Contact Information
Primary practice address
6609 Sanger Ave
Waco TX 76710-4252
Phone: (254) 741-1824
Fax: (254) 741-1836
Website:
Authorized official contact:
Name: Wash, Jonathan Gordon Doctor of Podiatric Medicine (DPM)
Phone: (254) 741-1824
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1639122708 |
|---|---|
| LBN Legal business name | Jonathan G Wash Dpm Pa |
| DBA Doing business as | |
| Authorized official | Wash, Jonathan Gordon Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Jun 20th, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639122708 | NPPES |
| Texas | MEDICAID | 178105601 |
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