Sutermeister, Jonathan

Sutermeister, Jonathan is an sole proprietor health care provider with primary practice located at 3260 Gambit Sq , Dayton OH 45449-3513. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Sutermeister, Jonathan can be contacted via phone (937) 367-5542.

Contact Information

Primary practice address
3260 Gambit Sq Dayton OH 45449-3513
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1841606985
LBN Legal business name Sutermeister, Jonathan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2014
Last updated Jul 9th, 2014 - about 10 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 1841606985 NPPES
Ohio MEDICAID 0052968

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