Sales, Jonathan O

Sales, Jonathan O is an individual health care provider with primary practice located at 2601 Ferry St , Lafayette IN 47904-3061. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Sales, Jonathan O can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
2601 Ferry St Lafayette IN 47904-3061
Phone: (765) 448-8000
Fax: (765) 448-8335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 06001921A Indiana

Profile Details

NPI number 1962591255
LBN Legal business name Sales, Jonathan O
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated May 10th, 2010 - about 16 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 1962591255 NPPES
Indiana MEDICAID 100099590
Indiana Other 000000188968

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