Jonathan Kraas
Nuclear Medicine Specialist
211 N Eddy St Department Of Radiology
South Bend
, Indiana 46617-2808
Jonathan Kraas
Nuclear Medicine Specialist
211 N Eddy St Department Of Radiology
South Bend
, Indiana 46617-2808
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About
Features
Specialties
- Nuclear Medicine Specialist
Languages spoken
- English
Location
First Address
- Jonathan Kraas
- 211 N Eddy St Department Of Radiology
- South Bend, IN
- Zip : 46617-2808
- Phone :
Second Address
- Jonathan Kraas
- 211 N Eddy St Department Of Radiology
- South Bend, IN
- Zip : 46617-2808
- Phone : (574) 204-6209
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207U00000X | Nuclear Medicine Specialist | 28090 | SC |
National Provider Identifier
| NPI | 1104904812 |
|---|---|
| Provider Name | Jonathan Kraas |
| First Address | South Bend, IN 46617-2808 |
| Second Address | South Bend, IN 46617-2808 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/11/2006 |
| Last Update Date | 28/10/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200949250 | (05) | IN |
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.