Nordheim, Jonathan Edward

Nordheim, Jonathan Edward is an individual health care provider with primary practice located at 625 Sw Ramsey Ave , Grants Pass OR 97527-5808. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Nordheim, Jonathan Edward can be contacted via phone (541) 507-2290.

Contact Information

Primary practice address
625 Sw Ramsey Ave Grants Pass OR 97527-5808
Phone: (541) 507-2290
Fax: (541) 507-2291
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 179767 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0075241 New York

Profile Details

NPI number 1386762912
LBN Legal business name Nordheim, Jonathan Edward
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Mar 28th, 2018 - about 7 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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