Koelle, Jonathan S
Koelle, Jonathan S is an individual health care provider with primary practice located at 4700 Spring St Suite 220, La Mesa CA 91951-5274. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Koelle, Jonathan S can be contacted via phone (619) 667-3380.Contact Information
Primary practice address
4700 Spring St Suite 220
La Mesa CA 91951-5274
Phone: (619) 667-3380
Fax: (619) 667-0815
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | G79002 | California |
Profile Details
| NPI number | 1609803824 |
|---|---|
| LBN Legal business name | Koelle, Jonathan S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2006 |
| Last updated | Feb 21st, 2020 - about 4 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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