Southworth, Jonathan Peter

Southworth, Jonathan Peter is an individual health care provider with primary practice located at 1 West Lakeshore Drive Suite 100, Birmingham AL 35209-7271. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Southworth, Jonathan Peter can be contacted via phone (205) 930-2950.

Contact Information

Primary practice address
1 West Lakeshore Drive Suite 100 Birmingham AL 35209-7271
Phone: (205) 930-2950
Fax: (205) 930-2957
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO780 Alabama

Profile Details

NPI number 1831161611
LBN Legal business name Southworth, Jonathan Peter
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Aug 22nd, 2014 - about 12 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 1831161611 NPPES
Alabama MEDICAID 051555035
Alabama MEDICAID 000060008

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