Lundberg, Jonathan
Lundberg, Jonathan is an individual health care provider with primary practice located at 71 North Juniata Street , Lewistown PA 17044-2049. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Lundberg, Jonathan can be contacted via phone (717) 953-9643.Contact Information
Primary practice address
71 North Juniata Street
Lewistown PA 17044-2049
Phone: (717) 953-9643
Fax: (717) 953-9661
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT025186 | Pennsylvania |
Profile Details
| NPI number | 1659821445 |
|---|---|
| LBN Legal business name | Lundberg, Jonathan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2016 |
| Last updated | Oct 5th, 2016 - about 9 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 | 1659821445 | NPPES |
| Pennsylvania | MEDICAID | 1019541330001 |
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