Jonathan D Main in Kenosha - Orthopaedic Surgery
Jonathan D Main - NPI 1235110255
Jonathan D Main is a Orthopaedic Surgery in Kenosha, Wisconsin. Jonathan D Main practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Jonathan D Main is 1235110255. The last update date is 2018-09-19.
Jonathan D Main's current location address is 7401 104th Ave, Kenosha, Wisconsin. You can contact this provider via phone number 2627645595 and fax number 2627649314. The mailing address for Jonathan D Main is 7401 104th Ave, Kenosha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan D Main |
|---|---|
| Address | 7401 104th Ave, Kenosha, Wisconsin |
| Phone Number | 2627645595 |
| Fax Number | 2627649314 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1235110255 |
|---|---|
| Provider Enumeration Date | 2005-11-08 |
| Last Updated Date | 2018-09-19 |
Provider Mailing Address Detail
| Address | 7401 104th Ave |
|---|---|
| City | Kenosha |
| State | Wisconsin (WI) |
| Post Code | 531427845 |
| Phone Number | 2627645595 |
| Fax Number | 2627649314 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Surgery |
|---|---|
| Taxonomy | 207X00000X |
| Licence No | 38865 |
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Definition: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 32337800 | WI | -- |
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What is the unique identification code assigned to Jonathan D Main by the Centers for Medicare & Medicaid Services?
The Jonathan D Main has been issued the NPI (National Provider Identifier) 1235110255. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jonathan D Main?
The Jonathan D Main is physically situated at 7401 104Th Ave, in the city of Kenosha, state of WI, with the postal code 531427845.
What is Jonathan D Main's area of expertise and its corresponding taxonomy classification?
The Jonathan D Main's field of specialization is Orthopaedic Surgery, and it falls under the taxonomy code 207X00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Jonathan D Main receive its 1235110255 assignment from the Centers for Medicare & Medicaid Services?
The Jonathan D Main was assigned its 1235110255 by the Centers for Medicare & Medicaid Services on 2005-11-08.
When was the information regarding Jonathan D Main most recently updated?
The details pertaining to the Jonathan D Main, including its address, specialty, and other relevant information, were last refreshed on 2018-09-19.
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