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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861786022 NPPES
Washington MEDICAID 2020664

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