Individual
MR. JONATHAN WHITNEY SAKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
2605 REACH RD, STE A, WILLIAMSPORT, PA 17701-4181
(570) 322-2251
(570) 322-2251
Mailing address
444 HOMEBASE LN, UNITYVILLE, PA 17774-9070
(570) 322-2251
(570) 601-0133
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT009756L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000360690
BC/BS NE PA PROVIDER #
PA
05
—
1012131140001
—
PA
01
—
20-2108080
TRICARE
PA
01
—
264602
HEALTH AMERICA PROVIDER #
PA
01
—
3811086
AETNA
PA
01
—
50049989
CAPITIAL BLUE CROSS
PA
01
—
819036
FIRST PRIORITY HEALTH
PA
01
—
P00213203
MEDICARE RAILROAD
PA
01
—
Q91591
AMERIHEALTH PROVIDER #
PA
Enumeration date
04/08/2006
Last updated
12/21/2012
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