Khersonsky, Jonathan

Khersonsky, Jonathan is an sole proprietor health care provider with primary practice located at 6363 Christie Ave Apt 614 , Emeryville CA 94608-1917. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Khersonsky, Jonathan can be contacted via phone (510) 437-4902.

Contact Information

Primary practice address
6363 Christie Ave Apt 614 Emeryville CA 94608-1917
Phone: (510) 437-4902
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1891007456
LBN Legal business name Khersonsky, Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2010
Last updated Feb 11th, 2022 - about 3 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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