Straker, Jonathan S

Straker, Jonathan S is an individual health care provider with primary practice located at 3111 Gundersen Drive , Onalaska WI 54650-8512. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Straker, Jonathan S can be contacted via phone (608) 782-7300.

Contact Information

Primary practice address
3111 Gundersen Drive Onalaska WI 54650-8512
Phone: (608) 782-7300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 3849 Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X 7122 Minnesota

Profile Details

NPI number 1144225517
LBN Legal business name Straker, Jonathan S
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Apr 15th, 2013 - about 12 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 1144225517 NPPES
Wisconsin MEDICAID 40164800

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