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Contact Information

JONATHAN GHAZAL, ATC/L
3403 ANY WAY
KINGWOOD, TX77339
 Phone: 503-339-5938
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for JONATHAN GHAZAL · (Male)

NPI Number 1487084182
Status Active
Credentials ATC/L
Entity Individual
Enumeration date 11/15/2013
Last updated 06/12/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # AT-AT-10154552
  • TX License # AT7016
Hospital affiliation(s) Not Available
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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