Wilson, Jonathan Michael
Wilson, Jonathan Michael is an sole proprietor health care provider with primary practice located at 1386 Route 25A , East Setauket NY 11733-2842. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Wilson, Jonathan Michael can be contacted via phone (631) 751-2375.Contact Information
Primary practice address
1386 Route 25A
East Setauket NY 11733-2842
Phone: (631) 751-2375
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 027140-1 | New York |
Profile Details
| NPI number | 1144836610 |
|---|---|
| LBN Legal business name | Wilson, Jonathan Michael |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2020 |
| Last updated | Sep 21st, 2020 - about 5 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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