Bottom, Juliene Burgess
Bottom, Juliene Burgess is an individual health care provider with primary practice located at 4700 Point Fosdick Dr Nw Suite 219, Gig Harbor WA 98335-1706. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bottom, Juliene Burgess can be contacted via phone (253) 851-7733.Contact Information
Primary practice address
4700 Point Fosdick Dr Nw Suite 219
Gig Harbor WA 98335-1706
Phone: (253) 851-7733
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA01063 | Oregon |
Profile Details
| NPI number | 1720266844 |
|---|---|
| LBN Legal business name | Bottom, Juliene Burgess |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2008 |
| Last updated | May 4th, 2016 - about 10 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 | 1720266844 | NPPES |
| Oregon | Other | R143633 | MEDICARE PTAN |
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