Earl, Jonathan M

Earl, Jonathan M is an individual health care provider with primary practice located at 234 Goodman St , Cincinnati OH 45219-2364. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Earl, Jonathan M can be contacted via phone (513) 584-7372.

Contact Information

Primary practice address
234 Goodman St Cincinnati OH 45219-2364
Phone: (513) 584-7372
Fax: (513) 584-2605
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X COA.16230-NP Ohio
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X COA.16230-NP Ohio
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X COA.16230-NP Ohio

Profile Details

NPI number 1982007720
LBN Legal business name Earl, Jonathan M
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2014
Last updated Mar 26th, 2020 - 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 1982007720 NPPES
Other 12753046 CAQH
Other 4176914 CAQH
MEDICAID 0114203 CAQH
Other QMP000004814954 CAQH

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