Gold, Jonathan G

Gold, Jonathan G is an individual health care provider with primary practice located at 804 Service Rd # A110 , East Lansing MI 48824-7015. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gold, Jonathan G can be contacted via phone (517) 353-3003.

Contact Information

Primary practice address
804 Service Rd # A110 East Lansing MI 48824-7015
Phone: (517) 353-3003
Fax: (517) 353-5514
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301077191 Michigan

Profile Details

NPI number 1881602316
LBN Legal business name Gold, Jonathan G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Aug 29th, 2016 - about 10 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 1881602316 NPPES
Michigan MEDICAID 1881602316
Michigan MEDICAID 4255483

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