Myers, Jonathan S

Myers, Jonathan S is an individual health care provider with primary practice located at 840 Walnut St Ste 1110 , Philadelphia PA 19107-5109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Myers, Jonathan S can be contacted via phone (215) 928-3197.

Contact Information

Primary practice address
840 Walnut St Ste 1110 Philadelphia PA 19107-5109
Phone: (215) 928-3197
Fax: (215) 928-0166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 25MA06114100 New Jersey
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X C1005549 Delaware
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD053800L Pennsylvania

Profile Details

NPI number 1023013190
LBN Legal business name Myers, Jonathan S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jan 24th, 2019 - about 6 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 1023013190 NPPES
New Jersey MEDICAID 6265901
New Jersey MEDICAID 1649751

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