Repoyo, Johnathan

Repoyo, Johnathan is an individual health care provider with primary practice located at 1104 W River Rd , Detroit Lakes MN 56501-2723. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Repoyo, Johnathan can be contacted via phone (218) 287-4338.

Contact Information

Primary practice address
1104 W River Rd Detroit Lakes MN 56501-2723
Phone: (218) 287-4338
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1851893457
LBN Legal business name Repoyo, Johnathan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2018
Last updated Feb 28th, 2018 - about 8 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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