Serody, Jonathan S

Serody, Jonathan S is an individual health care provider with primary practice located at 101 Manning Dr , Chapel Hill NC 27599-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Serody, Jonathan S can be contacted via phone (919) 966-4996.

Contact Information

Primary practice address
101 Manning Dr Chapel Hill NC 27599-0001
Fax: (919) 843-5515
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X North Carolina

Profile Details

NPI number 1790846848
LBN Legal business name Serody, Jonathan S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Apr 5th, 2021 - about 3 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 1790846848 NPPES
North Carolina MEDICAID 8975218

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