Walgama, Jonathan Pierce

Walgama, Jonathan Pierce is an sole proprietor health care provider with primary practice located at 3209 N 4Th St Suite 100, Longview TX 75605-5171. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Walgama, Jonathan Pierce can be contacted via phone (903) 757-2020.

Contact Information

Primary practice address
3209 N 4Th St Suite 100 Longview TX 75605-5171
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X Q3122 Texas

Profile Details

NPI number 1477846871
LBN Legal business name Walgama, Jonathan Pierce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2011
Last updated Apr 29th, 2024 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477846871 NPPES
Texas MEDICAID 346191501

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