Jonov, Craig Ronald

Jonov, Craig Ronald is an individual health care provider with primary practice located at 509 Olive Way Ste 1454, Seattle WA 98101-1749. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Pathology, Other Service Providers / Specialist. Dental Providers / Oral and Maxillofacial Pathology is his primary health care specialty. Jonov, Craig Ronald can be contacted via phone (206) 624-0852.

Contact Information

Primary practice address
509 Olive Way Ste 1454 Seattle WA 98101-1749
Phone: (206) 624-0852
Fax: (206) 622-2084
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 9246 Washington
Other Service Providers / Specialist 174400000X 43154 Washington

Profile Details

NPI number 1235134511
LBN Legal business name Jonov, Craig Ronald
Credentials DMD, MD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Jul 8th, 2007 - about 17 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 1235134511 NPPES
Washington Other 59246 WASH DENTAL SERVICE
Washington MEDICAID 5041496 WASH DENTAL SERVICE
Washington Other 1386802 WASH DENTAL SERVICE
Washington Other 7092322 WASH DENTAL SERVICE
Washington Other 1605JO WASH DENTAL SERVICE
Washington Other 164759 WASH DENTAL SERVICE

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