Slater, Jonathan
Slater, Jonathan is an sole proprietor health care provider with primary practice located at 100 Wason Ave Suite 200, Springfield MA 01107-1381. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Slater, Jonathan can be contacted via phone (413) 733-9666.Contact Information
Primary practice address
100 Wason Ave Suite 200
Springfield MA 01107-1381
Phone: (413) 733-9666
Fax: (413) 750-3432
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 81014 | Massachusetts |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 032013 | Connecticut |
Profile Details
| NPI number | 1992788160 |
|---|---|
| LBN Legal business name | Slater, Jonathan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | Feb 6th, 2015 - about 9 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 | 1992788160 | NPPES |
| Massachusetts | Other | 64747 | FALLON |
| Massachusetts | MEDICAID | 3137651 | FALLON |
| Massachusetts | Other | 10252 | FALLON |
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