Zaidan, Jonathan Thomas

Zaidan, Jonathan Thomas is an individual health care provider with primary practice located at 1428 S Lapeer Rd , Lake Orion MI 48360-1437. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Zaidan, Jonathan Thomas can be contacted via phone (248) 693-0543.

Contact Information

Primary practice address
1428 S Lapeer Rd Lake Orion MI 48360-1437
Phone: (248) 693-0543
Fax: (248) 630-4301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301069018 Michigan

Profile Details

NPI number 1619905387
LBN Legal business name Zaidan, Jonathan Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Jul 29th, 2022 - about 3 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 1619905387 NPPES
Michigan Other 1568653780 GROUP NPI
Michigan MEDICAID 1619905387 GROUP NPI

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