Korth, Jonathon Russell

Korth, Jonathon Russell is an individual health care provider with primary practice located at 46439 275 Ave , Humphrey NE 68642-5003. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Student, Health Care / Student in an Organized Health Care Education/Training Program. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Korth, Jonathon Russell can be contacted via phone (402) 920-2926.

Contact Information

Primary practice address
46439 275 Ave Humphrey NE 68642-5003
Phone: (402) 920-2926
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 1942925516 Nebraska
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2865 Nebraska

Profile Details

NPI number 1942925516
LBN Legal business name Korth, Jonathon Russell
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2022
Last updated Mar 1st, 2023 - about 2 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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