Ross, Jonathan Michael

Ross, Jonathan Michael is an individual health care provider with primary practice located at 215 E Mansion St Suite 3A, Marshall MI 49068-1559. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Ross, Jonathan Michael can be contacted via phone (269) 789-0025.

Contact Information

Primary practice address
215 E Mansion St Suite 3A Marshall MI 49068-1559
Fax: (269) 789-0445
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 4301048417 Michigan

Profile Details

NPI number 1356479810
LBN Legal business name Ross, Jonathan Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Feb 22nd, 2013 - about 12 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 1356479810 NPPES
Michigan MEDICAID 4509502

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