Wolman, Jonathan Louis

Wolman, Jonathan Louis is an individual health care provider with primary practice located at 3328 Shelly Hill Rd , Mount Vernon WA 98274-6131. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Wolman, Jonathan Louis can be contacted via phone (206) 335-0552.

Contact Information

Primary practice address
3328 Shelly Hill Rd Mount Vernon WA 98274-6131
Phone: (206) 335-0552
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 56617 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP30006554 Washington

Profile Details

NPI number 1164445607
LBN Legal business name Wolman, Jonathan Louis
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Mar 17th, 2018 - about 6 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 1164445607 NPPES
Washington MEDICAID 2046441

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