Koman, Jon D
Koman, Jon D is an sole proprietor health care provider with primary practice located at 116 Westminster Pike Suite 100, Reisterstown MD 21136-1027. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Koman, Jon D can be contacted via phone (410) 833-9300.Contact Information
Primary practice address
116 Westminster Pike Suite 100
Reisterstown MD 21136-1027
Phone: (410) 833-9300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | D55676 | Maryland |
Profile Details
| NPI number | 1215925128 |
|---|---|
| LBN Legal business name | Koman, Jon D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Apr 3rd, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215925128 | NPPES |
| Maryland | MEDICAID | 293403500 |
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