Spaulding, Jonathan L

Spaulding, Jonathan L is an individual health care provider with primary practice located at 965 Shamrock Ln , Corry PA 16407-9121. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Spaulding, Jonathan L can be contacted via phone (814) 664-4641.

Contact Information

Primary practice address
965 Shamrock Ln Corry PA 16407-9121
Fax: (814) 663-9900
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 34007573 Ohio
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X O5009254C Pennsylvania

Profile Details

NPI number 1912975194
LBN Legal business name Spaulding, Jonathan L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Dec 11th, 2018 - about 6 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 1912975194 NPPES
Pennsylvania MEDICAID 0016621180015

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