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Contact Information

JONATHAN HOLLISTER, MD
590 NEWARK GRANVILLE RD
GRANVILLE, OH43023-1436
 Phone: 888-531-7444
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JONATHAN HOLLISTER · (Male)

NPI # 1487621652
Status Active
Credentials MD
Entity Individual
Enumeration date 03/07/2006
Last updated 08/14/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 35-08-4535
  • OH Medicaid 2612917
Hospital affiliation(s)
  • LICKING MEMORIAL HOSPITAL HOMECARE - (Acute Care)
    1320 WEST MAIN STREET
    NEWARK, OH 43055
  • OHIO STATE UNIVERSITY HOSPITALS - (Acute Care)
    410 WEST 10TH AVENUE
    COLUMBUS, OH 43210
  • RIVERSIDE METHODIST HOSPITAL - (Acute Care)
    3535 OLENTANGY RIVER RD
    COLUMBUS, OH 43214
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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