MEDICARE: JONATHON D SATTERFIELD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171WH0202X	Home Modifications Contractor

General Provider Information

NPI Number	:	1275139131
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONATHON D SATTERFIELD

Provider Business Mailing Address
First Line	:	759 E 1650 N
Second Line	:
City	:	COVINGTON
State	:	IN
Zip	:	47932-7043
Country	:	US
Telephone Number	:	765-761-7773
Fax Number	:

Provider Business Practice Location Address
First Line	:	759 E 1650 N
Second Line	:
City	:	COVINGTON
State	:	IN
Zip	:	47932-7043
Country	:	US
Telephone Number	:	765-761-7773
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/07/2020
Last Update Date	:	12/07/2020

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Directions to “ JONATHON D SATTERFIELD ” Practice Location

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