Van Roo, Jon Dirk
Van Roo, Jon Dirk is an individual health care provider with primary practice located at 700 S Park St Suite A404, Madison WI 53715-1830. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Van Roo, Jon Dirk can be contacted via phone (608) 258-6504.Contact Information
Primary practice address
700 S Park St Suite A404
Madison WI 53715-1830
Phone: (608) 258-6504
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 125051916 | Illinois |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 53967-20 | Wisconsin |
Profile Details
| NPI number | 1033384565 |
|---|---|
| LBN Legal business name | Van Roo, Jon Dirk |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2008 |
| Last updated | May 4th, 2022 - about 4 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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