Kalisvaart, Jonathan Frank
Kalisvaart, Jonathan Frank is an individual health care provider with primary practice located at 101 W 8Th Ave Suite 100, Spokane WA 99204-2307. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Pediatric Urology. Allopathic & Osteopathic Physicians / Pediatric Urology is his primary health care specialty. Kalisvaart, Jonathan Frank can be contacted via phone (509) 624-3126.Contact Information
Primary practice address
101 W 8Th Ave Suite 100
Spokane WA 99204-2307
Phone: (509) 624-3126
Fax: (509) 227-7070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | A93105 | California |
| Allopathic & Osteopathic Physicians / Pediatric Urology | 2088P0231X | 062232 | Georgia |
| Allopathic & Osteopathic Physicians / Pediatric Urology | 2088P0231X | MD 60207055 | Washington |
Profile Details
| NPI number | 1013196864 |
|---|---|
| LBN Legal business name | Kalisvaart, Jonathan Frank |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 29th, 2007 |
| Last updated | Mar 7th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013196864 | NPPES |
| Washington | MEDICAID | 127902334A |
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