Birnbaum, Jack A.

Birnbaum, Jack A. is an individual health care provider with primary practice located at 2011 Nw Myhre Pl , Silverdale WA 98383-8561. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Birnbaum, Jack A. can be contacted via phone (360) 830-1604.

Contact Information

Primary practice address
2011 Nw Myhre Pl Silverdale WA 98383-8561
Phone: (360) 830-1604
Fax: (360) 830-1695
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X MD00029892 Washington
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00029892 Washington

Profile Details

NPI number 1801845268
LBN Legal business name Birnbaum, Jack A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Mar 7th, 2023 - about 3 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 1801845268 NPPES
Washington Other 31818 LABOR & INDUSTRY
Washington Other BI8918 LABOR & INDUSTRY
Washington Other 110055680 LABOR & INDUSTRY
Washington Other 4394063 LABOR & INDUSTRY
Washington MEDICAID 8140972 LABOR & INDUSTRY

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