Smith, Jonathan
Smith, Jonathan is an individual health care provider with primary practice located at 20 Franklin Tpke , Waldwick NJ 07463-1749. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Smith, Jonathan can be contacted via phone (201) 445-8822.Contact Information
Primary practice address
20 Franklin Tpke
Waldwick NJ 07463-1749
Phone: (201) 445-8822
Fax: (201) 447-7058
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 25MA04967700 | New Jersey |
Profile Details
| NPI number | 1912994740 |
|---|---|
| LBN Legal business name | Smith, Jonathan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2005 |
| Last updated | Jan 9th, 2008 - about 16 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 | 1912994740 | NPPES |
| New Jersey | MEDICAID | 0943002 |
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