Provider Demographics
NPI:1295777290
Name:GAIR, JONATHAN DAVID (MA, BSN, PHN, RN)
Entity type:Individual
Prefix:MR
First Name:JONATHAN
Middle Name:DAVID
Last Name:GAIR
Suffix:
Gender:M
Credentials:MA, BSN, PHN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 W 44TH ST
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55409-1703
Mailing Address - Country:US
Mailing Address - Phone:612-825-0413
Mailing Address - Fax:
Practice Address - Street 1:901 W 44TH ST
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55409-1703
Practice Address - Country:US
Practice Address - Phone:612-825-0413
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-12
Last Update Date:2014-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR 160600-5163WC0200X
MNR-160600-5163WG0600X, 163WG0100X, 163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
No163WG0600XNursing Service ProvidersRegistered NurseGerontology
No163WG0100XNursing Service ProvidersRegistered NurseGastroenterology
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice