Gervais, Jonathan Paul

Gervais, Jonathan Paul is an individual health care provider with primary practice located at 2015 Lakeview Dr , Duluth MN 55803-2414. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Gervais, Jonathan Paul can be contacted via phone (218) 724-5027.

Contact Information

Primary practice address
2015 Lakeview Dr Duluth MN 55803-2414
Phone: (218) 724-5027
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 6443 Minnesota
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 332156 Wisconsin

Profile Details

NPI number 1427093475
LBN Legal business name Gervais, Jonathan Paul
Credentials AU.D
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated May 31st, 2012 - about 13 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 1427093475 NPPES
Minnesota MEDICAID 443928700

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