Jonathan Nzoma DO is an orthopedic with a current address of 28800 Ryan Rd Ste 120 Warren Postdoctoral Education MI 48092-4269. The NPI is 1417257551, and the license number is 5101020363 (MI). It was issued on 10/22/2010. The primary taxonomy code for the clinic is 207X00000X. The provider is registered as an individual, and the NPI number was last updated on 06/18/2014.
Jonathan Nzoma DO can be reached by phone at 5865582860, by mail at 4722 S Woodlawn Ave Apt 2n Chicago IL 60615-1962, or by fax at .
Name: Jonathan Nzoma DO
Specialization: Orthopedic
Provider Entity Type: Individual
Is Sole Proprietor: No
Gender: Male
Practice Location Address:
28800 Ryan Rd Ste 120
Warren
MI 48092-4269
Telephone Number: 5865582860
Fax Number:
Mailing Address:
4722 S Woodlawn Ave Apt 2n
Chicago
IL 60615-1962
Telephone Number: 3133196858
Fax Number:
NPI is an abbreviation for National Provider Identifier. The NPI is a unique 10-digit identification number. The NPI number does not contain personally identifiable information, such as a provider’s specialty or location. The NPI is assigned to individuals or organizations for their lifetime and is unaffected by updates to key provider information, such as a change in practice, location, or specialty.
NPI Number: 1417257551
Enumeration Date: 10/22/2010
Last Update: 06/18/2014
The NPI record includes the health care provider’s taxonomy classification, state license number, and state of licensure. Health care providers choose their own taxonomy codes. Their specialty is determined by their level of education and training. The taxonomy codes do not indicate what services the healthcare provider provides. The levels of the code set are organized in such a way that it is possible to navigate from the generic classification to the most specific level of specialization of a provider.
Primary Taxonomy Code: 207X00000X
License Number: 5101020363
License State: MI
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Providers may hold one or more medical licenses in the same state or in different states for different specialties.
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