Koman, Jon D

Koman, Jon D is an sole proprietor health care provider with primary practice located at 116 Westminster Pike Suite 100, Reisterstown MD 21136-1027. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Koman, Jon D can be contacted via phone (410) 833-9300.

Contact Information

Primary practice address
116 Westminster Pike Suite 100 Reisterstown MD 21136-1027
Phone: (410) 833-9300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X D55676 Maryland

Profile Details

NPI number 1215925128
LBN Legal business name Koman, Jon D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2005
Last updated Apr 3rd, 2014 - about 12 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 1215925128 NPPES
Maryland MEDICAID 293403500

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