Primack, Jonathan D.
Primack, Jonathan D. is an individual health care provider with primary practice located at 1 Granite Point Dr Ste 100 , Wyomissing PA 19610-1992. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Primack, Jonathan D. can be contacted via phone (610) 378-1344.Contact Information
Primary practice address
1 Granite Point Dr Ste 100
Wyomissing PA 19610-1992
Phone: (610) 378-1344
Fax: (610) 378-5169
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD427795 | Pennsylvania |
Profile Details
| NPI number | 1518937457 |
|---|---|
| LBN Legal business name | Primack, Jonathan D. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Jul 5th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518937457 | NPPES |
| Pennsylvania | MEDICAID | 1014930630001 | |
| Pennsylvania | MEDICAID | 1014930630004 |
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