Griffith, Jon L

Griffith, Jon L is an individual health care provider with primary practice located at 700 W Ironwood Dr , Coeur D Alene ID 83814-2656. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Griffith, Jon L can be contacted via phone (509) 228-1000.

Contact Information

Primary practice address
700 W Ironwood Dr Coeur D Alene ID 83814-2656
Phone: (509) 228-1000
Fax: (509) 252-9300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X M5308 Idaho
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD00020143 Washington

Profile Details

NPI number 1356333959
LBN Legal business name Griffith, Jon L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Mar 24th, 2017 - about 9 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 1356333959 NPPES
Idaho MEDICAID 003713100
Idaho Other 320000489

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