Mai, Jonathan V.

Mai, Jonathan V. is an individual health care provider with primary practice located at 1 Medical Pk. Blvd. , Bristol TN 37620. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Mai, Jonathan V. can be contacted via phone (423) 968-1144.

Contact Information

Primary practice address
1 Medical Pk. Blvd. Bristol TN 37620
Fax: (423) 968-3453
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD424783 Pennsylvania

Profile Details

NPI number 1396706024
LBN Legal business name Mai, Jonathan V.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Mar 24th, 2011 - about 13 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 1396706024 NPPES
Pennsylvania MEDICAID 101401704

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