Head, Jonathan M

Head, Jonathan M is an individual health care provider with primary practice located at 985 Industrial Blvd , Smyrna TN 37167-6815. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Head, Jonathan M can be contacted via phone (615) 984-1000.

Contact Information

Primary practice address
985 Industrial Blvd Smyrna TN 37167-6815
Fax: (615) 984-1005
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 200400509 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36634 Iowa

Profile Details

NPI number 1992780696
LBN Legal business name Head, Jonathan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Dec 8th, 2021 - about 5 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 1992780696 NPPES
Iowa Other P00314288 RAILROAD MEDICARE NONBILL
Iowa MEDICAID 1992780696 RAILROAD MEDICARE NONBILL

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