IndividualActive
Jonathan Orth
NPI 1669008157 · Community Health Worker · Watson, IL
Provider details
- NPI number
- 1669008157
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
5118 N 1350th St
Watson, IL 62473-2271
Phone: (404) 783-2146
Approximate (ZIP-level) locationGet directions
Mailing address
5118 N 1350th St
Watson, IL 62473-2271
Additional practice locations (1)
- 556 N Airport RdMurphysboro, IL 62966-6003Phone: (618) 549-0721
Registry dates
- Enumerated
- 2020-03-17
- Last updated
- 2020-03-17
- Certified
- 2020-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.