Velasco, Jonathan Earl
Velasco, Jonathan Earl is an individual health care provider with primary practice located at One Elizabeth Place Suite 10A, Dayton OH 45408. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Velasco, Jonathan Earl can be contacted via phone (937) 228-4126.Contact Information
Primary practice address
One Elizabeth Place Suite 10A
Dayton OH 45408
Phone: (937) 228-4126
Fax: (937) 228-0247
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35071454 | Ohio |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 35071454 | Ohio |
Profile Details
| NPI number | 1962477661 |
|---|---|
| LBN Legal business name | Velasco, Jonathan Earl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Nov 17th, 2020 - about 4 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 | 1962477661 | NPPES |
| Ohio | MEDICAID | 0459650 |
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