Jonov, Craig Ronald
Jonov, Craig Ronald is an individual health care provider with primary practice located at 509 Olive Way Ste 1454, Seattle WA 98101-1749. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Pathology, Other Service Providers / Specialist. Dental Providers / Oral and Maxillofacial Pathology is his primary health care specialty. Jonov, Craig Ronald can be contacted via phone (206) 624-0852.Contact Information
Primary practice address
509 Olive Way Ste 1454
Seattle WA 98101-1749
Phone: (206) 624-0852
Fax: (206) 622-2084
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | 9246 | Washington |
| Other Service Providers / Specialist | 174400000X | 43154 | Washington |
Profile Details
| NPI number | 1235134511 |
|---|---|
| LBN Legal business name | Jonov, Craig Ronald |
| Credentials | DMD, MD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2005 |
| 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 | 1235134511 | NPPES |
| Washington | Other | 59246 | WASH DENTAL SERVICE |
| Washington | MEDICAID | 5041496 | WASH DENTAL SERVICE |
| Washington | Other | 1386802 | WASH DENTAL SERVICE |
| Washington | Other | 7092322 | WASH DENTAL SERVICE |
| Washington | Other | 1605JO | WASH DENTAL SERVICE |
| Washington | Other | 164759 | WASH DENTAL SERVICE |
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