Kurtis, Jonathan

Kurtis, Jonathan is an individual health care provider with primary practice located at 593 Eddy St Department Of Pathology Apc-12, Providence RI 02903-4923. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine, Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine. Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine is his primary health care specialty. Kurtis, Jonathan can be contacted via phone (401) 444-7241.

Contact Information

Primary practice address
593 Eddy St Department Of Pathology Apc-12 Providence RI 02903-4923
Phone: (401) 444-7241
Fax: (401) 444-8514
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine 207ZB0001X MD10455 Rhode Island
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X MD10455 Rhode Island

Profile Details

NPI number 1144263195
LBN Legal business name Kurtis, Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144263195 NPPES
Rhode Island MEDICAID 7008728

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