Ang, Jessy Awiten
Ang, Jessy Awiten is an sole proprietor health care provider with primary practice located at 2411 S 19Th St , Tacoma WA 98405-2954. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Ang, Jessy Awiten can be contacted via phone (253) 627-6606.Contact Information
Primary practice address
2411 S 19Th St
Tacoma WA 98405-2954
Phone: (253) 627-6606
Fax: (253) 572-4291
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 18096 | Washington |
Profile Details
| NPI number | 1255544359 |
|---|---|
| LBN Legal business name | Ang, Jessy Awiten |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 7th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255544359 | NPPES |
| Washington | MEDICAID | 1548908 |
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