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Contact Information

JONATHAN BERRIDGE, LAT ATC OTC
5201 PENNELL RD STE C
MEDIA, PA19063
 Phone: 610-876-0347
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Assistant

246ZX2200X
 

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for JONATHAN BERRIDGE · (Male)

NPI Number 1336518943
Status Active
Credentials LAT ATC OTC
Entity Individual
Enumeration date 09/24/2015
Last updated 08/24/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • PA License # 17-0629
  • PA License # RT006128
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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