Stockdale, Jonathan

Stockdale, Jonathan is an individual health care provider with primary practice located at 714 W Main St , Grass Valley CA 95945-6410. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Stockdale, Jonathan can be contacted via phone (530) 477-9800.

Contact Information

Primary practice address
714 W Main St Grass Valley CA 95945-6410
Fax: (530) 477-9803
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1952762569
LBN Legal business name Stockdale, Jonathan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2016
Last updated Feb 1st, 2024 - about 7 months 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.

Request for update

Popular Providers