Staiger, Jonathan Charles

Staiger, Jonathan Charles is an individual health care provider with primary practice located at 7700 Highway 65 Ne , Spring Lake Park MN 55432-2832. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Staiger, Jonathan Charles can be contacted via phone (763) 784-3155.

Contact Information

Primary practice address
7700 Highway 65 Ne Spring Lake Park MN 55432-2832
Phone: (763) 784-3155
Fax: (763) 784-2352
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 8038 Minnesota

Profile Details

NPI number 1972700961
LBN Legal business name Staiger, Jonathan Charles
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2007
Last updated Oct 21st, 2008 - about 18 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 1972700961 NPPES
Minnesota MEDICAID 300953100

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