Provider Demographics
NPI:1831592674
Name:DR. JONATHAN C. ROMNEY
Entity type:Organization
Organization Name:DR. JONATHAN C. ROMNEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NATUROPATHIC MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:COLE
Authorized Official - Last Name:ROMNEY
Authorized Official - Suffix:
Authorized Official - Credentials:NMD
Authorized Official - Phone:435-586-9904
Mailing Address - Street 1:965 S MAIN ST STE A
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84720-4315
Mailing Address - Country:US
Mailing Address - Phone:435-586-9904
Mailing Address - Fax:
Practice Address - Street 1:965 S MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84720-4315
Practice Address - Country:US
Practice Address - Phone:435-586-9904
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-07
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6459540-7101261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care