Strom, Jonathan William
Strom, Jonathan William is an individual health care provider with primary practice located at 744 South Webster Ave , Green Bay WI 54307-3400. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Strom, Jonathan William can be contacted via phone (920) 431-5696.Contact Information
Primary practice address
744 South Webster Ave
Green Bay WI 54307-3400
Phone: (920) 431-5696
Fax: (920) 431-5677
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 12561040 | Wisconsin |
Profile Details
| NPI number | 1063423200 |
|---|---|
| LBN Legal business name | Strom, Jonathan William |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1063423200 | NPPES |
| Other | 5124689 | NCPDP | |
| MEDICAID | 33233700 | NCPDP |
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