Mosley, Jonathan M

Mosley, Jonathan M is an individual health care provider with primary practice located at 3400 New Hartford Rd Ste A , Owensboro KY 42303-1705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mosley, Jonathan M can be contacted via phone (270) 684-5034.

Contact Information

Primary practice address
3400 New Hartford Rd Ste A Owensboro KY 42303-1705
Phone: (270) 684-5034
Fax: (270) 685-2053
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 03435 Kentucky

Profile Details

NPI number 1588922769
LBN Legal business name Mosley, Jonathan M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2012
Last updated Sep 23rd, 2021 - about 5 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 1588922769 NPPES
Kentucky MEDICAID 7100205500
Kentucky MEDICAID 300014580

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