Gerber, Jonathan D
Gerber, Jonathan D is an sole proprietor health care provider with primary practice located at 9000 Waukegan Rd Ste 200 , Morton Grove IL 60053-2127. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Gerber, Jonathan D can be contacted via phone (847) 375-3000.Contact Information
Primary practice address
9000 Waukegan Rd Ste 200
Morton Grove IL 60053-2127
Phone: (847) 375-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Sports Medicine | 2081S0010X | 2935 | Tennessee |
Profile Details
| NPI number | 1124794920 |
|---|---|
| LBN Legal business name | Gerber, Jonathan D |
| Credentials | MS, LAT, ATC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 20th, 2021 |
| Last updated | Mar 30th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124794920 | NPPES |
| Other | 2000050798 | BOARD OF CERTIFICATION FOR THE ATHLETIC TRAINER |
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