Wilson, Jonathan Michael

Wilson, Jonathan Michael is an sole proprietor health care provider with primary practice located at 1386 Route 25A , East Setauket NY 11733-2842. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Wilson, Jonathan Michael can be contacted via phone (631) 751-2375.

Contact Information

Primary practice address
1386 Route 25A East Setauket NY 11733-2842
Phone: (631) 751-2375
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 027140-1 New York

Profile Details

NPI number 1144836610
LBN Legal business name Wilson, Jonathan Michael
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2020
Last updated Sep 21st, 2020 - about 6 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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