Tatum, Jonathan David

Tatum, Jonathan David is an individual health care provider with primary practice located at 111 Plain Street 3Rd Floor Suite 101 , Providence RI 02902-3026. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatric Endocrinology is his primary health care specialty. Tatum, Jonathan David can be contacted via phone (401) 444-5504.

Contact Information

Primary practice address
111 Plain Street 3Rd Floor Suite 101 Providence RI 02902-3026
Phone: (401) 444-5504
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X MD19694 Rhode Island

Profile Details

NPI number 1285138586
LBN Legal business name Tatum, Jonathan David
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2018
Last updated Aug 6th, 2024 - about 2 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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