Mr. James Jonathan Slater
Otolaryngology/Facial Plastic Surgery
2611 Charlevoix Ave
Petoskey
, Michigan 49770-8524
Mr. James Jonathan Slater
Otolaryngology/Facial Plastic Surgery
2611 Charlevoix Ave
Petoskey
, Michigan 49770-8524
(231) 348-5901
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About
Features
Specialties
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Mr. James Jonathan Slater
- 2611 Charlevoix Ave
- Petoskey, MI
- Zip : 49770-8524
- Fax : (231) 348-5901
- Phone : (231) 348-5900
Second Address
- Mr. James Jonathan Slater
- 2611 Charlevoix Ave
- Petoskey, MI
- Zip : 49770-8524
- Fax : (231) 348-5901
- Phone : (231) 348-5900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 5101015870 | MI |
National Provider Identifier
| NPI | 1942497466 |
|---|---|
| Provider Name | Mr. James Jonathan Slater |
| First Address | Petoskey, MI 49770-8524 |
| Second Address | Petoskey, MI 49770-8524 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/09/2007 |
| Last Update Date | 11/05/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0451601125 | BCBS (01) | MI |
| 1356394803 | NPI, NORTHWOODS ENT (01) | MI |
| 4832946-11 | (05) | MI |
| H80616 | (02) |
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.