Organization Name: | MICHAEL E JONASSEN, O.D. P.C. |
NPI Number: | 1568655355 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL E JONASSEN (PRESIDENT) |
Mailing Address: | 44 S State St Hart |
State: | MI US |
Postal Code: | 494201123 |
Phone Number: | 2318732575 |
Fax Number: | 2318732593 |
NPI Enumeration Date: | 08/24/2007 |
NPI Last Update Date: | 07/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 4901003163 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |