Jonas, Glenn J.

Jonas, Glenn J. is an individual health care provider with primary practice located at 270 Chastain Rd Nw , Kennesaw GA 30144-3012. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Jonas, Glenn J. can be contacted via phone (770) 421-8005.

Contact Information

Primary practice address
270 Chastain Rd Nw Kennesaw GA 30144-3012
Phone: (770) 421-8005
Fax: (770) 424-5662
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 038820 Georgia
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 038820 Georgia

Profile Details

NPI number 1063409555
LBN Legal business name Jonas, Glenn J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Apr 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 1063409555 NPPES
Georgia MEDICAID 000625633E
Georgia MEDICAID 000625633D
Georgia MEDICAID 000625633B
Georgia MEDICAID 000625633G
Georgia MEDICAID 000625633H

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