Dr. Craig Ronald Jonov
Oral and Maxillofacial Pathology
509 Olive Way Ste 1454
Seattle
, Washington 98101-1749
Dr. Craig Ronald Jonov
Oral and Maxillofacial Pathology
509 Olive Way Ste 1454
Seattle
, Washington 98101-1749
(206) 622-2084
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Dr. Craig Ronald Jonov
- 509 Olive Way Ste 1454
- Seattle, WA
- Zip : 98101-1749
- Fax : (206) 622-2084
- Phone : (206) 624-0852
Second Address
- Dr. Craig Ronald Jonov
- 509 Olive Way Ste 1454
- Seattle, WA
- Zip : 98101-1749
- Fax : (206) 622-2084
- Phone : (206) 624-0852
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223P0106X | Oral and Maxillofacial Pathology | 9246 | WA |
National Provider Identifier
| NPI | 1235134511 |
|---|---|
| Provider Name | Dr. Craig Ronald Jonov |
| First Address | Seattle, WA 98101-1749 |
| Second Address | Seattle, WA 98101-1749 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/06/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1386802 | UNITED CONCORDIA (01) | WA |
| 1605JO | REGENCE (01) | WA |
| 164759 | DEPT OF LABOR & INDUSTRIE (01) | WA |
| 5041496 | (05) | WA |
| 59246 | WASH DENTAL SERVICE (01) | WA |
| 7092322 | AETNA (01) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.