Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | MD045890L | PA |
N | 2084N0600X | Clinical Neurophysiologist | MD045890L | PA |
NPI | 1033178140 |
---|---|
Provider Name | Dr. Jonathan P. Hosey |
First Address | Bethlehem, PA 18018-2256 |
Second Address | Bethlehem, PA 18018-2256 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2006 |
Last Update Date | 06/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001289764 | (05) | PA |
0012897640002 | (05) | PA |