Wood, Jonathan A

Wood, Jonathan A is an individual health care provider with primary practice located at 500 Sw Ramsey Ave , Grants Pass OR 97527-5554. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Wood, Jonathan A can be contacted via phone (541) 472-7140.

Contact Information

Primary practice address
500 Sw Ramsey Ave Grants Pass OR 97527-5554
Phone: (541) 472-7140
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD22337 Oregon
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD22337 Oregon

Profile Details

NPI number 1437195781
LBN Legal business name Wood, Jonathan A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Oct 4th, 2007 - about 17 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 1437195781 NPPES
Oregon MEDICAID 288519

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