Older, Jon C
Older, Jon C is an individual health care provider with primary practice located at 20 Hartford St , Houlton ME 04730-1891. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Older, Jon C can be contacted via phone (207) 532-2900.Contact Information
Primary practice address
20 Hartford St
Houlton ME 04730-1891
Phone: (207) 532-2900
Fax: (207) 532-5974
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | DO1652 | Maine |
Profile Details
| NPI number | 1073582128 |
|---|---|
| LBN Legal business name | Older, Jon C |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | May 4th, 2017 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073582128 | NPPES |
| Maine | MEDICAID | 323250099 |
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