Grosdidier, Jonathan L
Grosdidier, Jonathan L is an individual health care provider with primary practice located at 111 S 5Th St , Douglas WY 82633-2434. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Grosdidier, Jonathan L can be contacted via phone (307) 358-2122.Contact Information
Primary practice address
111 S 5Th St
Douglas WY 82633-2434
Phone: (307) 358-2122
Fax: (307) 358-9216
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 7331A | Wyoming |
Profile Details
| NPI number | 1992808398 |
|---|---|
| LBN Legal business name | Grosdidier, Jonathan L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1992808398 | NPPES |
| Wyoming | Other | 314089 | BCBS OF WYOMING |
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