Privette, Jonathan
Privette, Jonathan is an sole proprietor health care provider with primary practice located at 600 Moye Blvd Ecu Physicians Brody Outpatient Center, Greenville NC 27834-4300. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology is his primary health care specialty. Privette, Jonathan can be contacted via phone (252) 744-4655.Contact Information
Primary practice address
600 Moye Blvd Ecu Physicians Brody Outpatient Center
Greenville NC 27834-4300
Phone: (252) 744-4655
Fax: (252) 744-3650
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Forensic Pathology | 207ZF0201X | 2008-01686 | North Carolina |
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 2008-01686 | North Carolina |
Profile Details
| NPI number | 1508079658 |
|---|---|
| LBN Legal business name | Privette, Jonathan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 7th, 2007 |
| Last updated | Mar 28th, 2013 - about 11 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 | 1508079658 | NPPES |
| North Carolina | MEDICAID | 5922084 | |
| North Carolina | Other | 174UW |
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