Wilson, Jonathan
Wilson, Jonathan is an individual health care provider with primary practice located at 700 N Lake Ave Ste 102 , Twin Lakes WI 53181-9436. 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. Wilson, Jonathan can be contacted via phone (262) 877-2124.Contact Information
Primary practice address
700 N Lake Ave Ste 102
Twin Lakes WI 53181-9436
Phone: (262) 877-2124
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 14317 | Wisconsin |
Profile Details
| NPI number | 1629787056 |
|---|---|
| LBN Legal business name | Wilson, Jonathan |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2022 |
| Last updated | Jan 31st, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629787056 | NPPES |
| Wisconsin | MEDICAID | 100222193 |
Popular Providers
-
Uselding, Monica E
700 N Lake Ave , Twin Lakes WI 53181-9436 -
Matsuura, Scott
246 Sobrante Way , Sunnyvale CA 94086-4807 -
Gurda, Sara
700 N Lake Ave , Twin Lakes WI 53181-9436 -
Osborne, Jocelyn Marie
237 E Main St , Twin Lakes WI 53181-9681 -
Ford, Joseph R.
301 E Main St Ste 103, Twin Lakes WI 53181-4200 -
Fauth, Ashley D.
237 E Main St , Twin Lakes WI 53181-9681 -
Brady, Daniel Thomas
1171 Fremont St , San Jose CA 95126-2109 -
Slimmer, Parker M
700 N Lake Ave , Twin Lakes WI 53181-9436