King, Jonathan S

King, Jonathan S is an sole proprietor health care provider with primary practice located at 850 W Ironwood Dr Ste 202 , Coeur D Alene ID 83814-4903. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. King, Jonathan S can be contacted via phone (208) 664-2175.

Contact Information

Primary practice address
850 W Ironwood Dr Ste 202 Coeur D Alene ID 83814-4903
Phone: (208) 664-2175
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X M9264 Idaho
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X M9264 Idaho

Profile Details

NPI number 1326034430
LBN Legal business name King, Jonathan S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2005
Last updated Dec 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326034430 NPPES
Idaho MEDICAID 807235300
Idaho Other DF003
Idaho Other 1083729438

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