Minor, Jonathan Lee

Minor, Jonathan Lee is an individual health care provider with primary practice located at 910 W 10Th St , Rolla MO 65409-6519. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Minor, Jonathan Lee can be contacted via phone (573) 342-4284.

Contact Information

Primary practice address
910 W 10Th St Rolla MO 65409-6519
Phone: (573) 342-4284
Fax: (573) 341-6967
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2080S0010X A137057 California
Allopathic & Osteopathic Physicians / General Practice 208D00000X 2020036607 Missouri

Profile Details

NPI number 1609195452
LBN Legal business name Minor, Jonathan Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2010
Last updated Nov 11th, 2020 - about 6 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 1609195452 NPPES
California Other CB238713 MEDICARE PTAN

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