Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | MD60758094 | WA |
NPI | 1003132234 |
---|---|
Provider Name | Dr. Nicholas N Jonas |
First Address | Seattle, WA 98124 |
Second Address | Bellevue, WA 98004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2010 |
Last Update Date | 18/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2087553 | (05) | WA |