Mundy, Jonathan Todd

Mundy, Jonathan Todd is an individual health care provider with primary practice located at 1234 Huffman Mill Rd , Burlington NC 27215-8700. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Mundy, Jonathan Todd can be contacted via phone (336) 538-1234.

Contact Information

Primary practice address
1234 Huffman Mill Rd Burlington NC 27215-8700
Phone: (336) 538-1234
Fax: (336) 538-2390
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 103035 North Carolina

Profile Details

NPI number 1841207719
LBN Legal business name Mundy, Jonathan Todd
Credentials P.A.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Sep 26th, 2022 - about 4 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 1841207719 NPPES
North Carolina MEDICAID 8101201

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