Koth, Jonathan Edward
Koth, Jonathan Edward is an individual health care provider with primary practice located at 204 N Central Ave , Marshfield WI 54449-2109. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Koth, Jonathan Edward can be contacted via phone (715) 898-1600.Contact Information
Primary practice address
204 N Central Ave
Marshfield WI 54449-2109
Phone: (715) 898-1600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 2431-39 | Wisconsin |
Profile Details
| NPI number | 1225790215 |
|---|---|
| LBN Legal business name | Koth, Jonathan Edward |
| Credentials | Licensed Athletic Trainer (LAT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 7th, 2021 |
| Last updated | Feb 16th, 2024 - 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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