Dr. Jon Leo Konzen
General Practice Physician
26 Walnut Creek Dr
Holland
, Ohio 43528-9464
Dr. Jon Leo Konzen
General Practice Physician
26 Walnut Creek Dr
Holland
, Ohio 43528-9464
(419) 867-0195
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Jon Leo Konzen
- 26 Walnut Creek Dr
- Holland, OH
- Zip : 43528-9464
- Phone : (419) 867-0195
Second Address
- Dr. Jon Leo Konzen
- 26 Walnut Creek Dr
- Holland, OH
- Zip : 43528-9464
- Phone : (419) 867-0195
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | 35.026282 | OH |
National Provider Identifier
| NPI | 1013202340 |
|---|---|
| Provider Name | Dr. Jon Leo Konzen |
| First Address | Holland, OH 43528-9464 |
| Second Address | Holland, OH 43528-9464 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/06/2011 |
| Last Update Date | 15/06/2011 |
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.