Perry, Jonathan G

Perry, Jonathan G is an individual health care provider with primary practice located at 50 Moisey Dr Ste 214 , Hazle Township PA 18202-9297. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Perry, Jonathan G can be contacted via phone (570) 501-6900.

Contact Information

Primary practice address
50 Moisey Dr Ste 214 Hazle Township PA 18202-9297
Phone: (570) 501-6900
Fax: (570) 501-6945
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MT204938 Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X MD464189 Pennsylvania

Profile Details

NPI number 1427497254
LBN Legal business name Perry, Jonathan G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2013
Last updated Feb 19th, 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 1427497254 NPPES
Pennsylvania MEDICAID 103532895-0001

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