Bingham, Jason Ray
Bingham, Jason Ray is an individual health care provider with primary practice located at 11307 Bridgeport Way Sw Ste 220A , Lakewood WA 98499-3024. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bingham, Jason Ray can be contacted via phone (253) 985-2733.Contact Information
Primary practice address
11307 Bridgeport Way Sw Ste 220A
Lakewood WA 98499-3024
Phone: (253) 985-2733
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 60775245 | Washington |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD60775245 | Washington |
Profile Details
| NPI number | 1861786022 |
|---|---|
| LBN Legal business name | Bingham, Jason Ray |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2011 |
| Last updated | Dec 1st, 2020 - about 6 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 | 1861786022 | NPPES |
| Washington | MEDICAID | 2020664 |
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