Individual
JONATHAN R JAVORS
Active
Individual
JONATHAN R JAVORS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
02001033
IN
207X00000X
Orthopaedic Surgery Physician
02001033A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000387160
ANTHEM
IN
05
—
100366110
—
IN
05
—
20916250
—
IN
01
—
4362881
AETNA
—
01
—
90001255
BLUECROSSBLUESHIELD/ILLIN
IN
Enumeration date
07/26/2005
Last updated
02/15/2022
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