Jonathan E Coronado

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Milan, MO

NPI 1932850583 · NPPES record last updated Jan 14, 2022

Key facts

NPI
1932850583
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
48326 Highway E
Milan, MO 63556-2112
Phone
(660) 216-7990
NPI assigned
Jan 14, 2022
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

48326 Highway E
Milan, MO 63556-2112

Mailing address

48326 Highway E
Milan, MO 63556-2112
Phone (660) 216-7990

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address jec084@culver.edu

Other providers in Milan, MO

All providers in Milan, MO · Student in an Organized Health Care Education/Training Program in Missouri

Sources for this page

Verify at the official NPI Registry.