Cardinal, Jeremy Scott

Cardinal, Jeremy Scott is an individual health care provider with primary practice located at 1304 Fawcett Ave Ste 100 , Tacoma WA 98402-1900. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Cardinal, Jeremy Scott can be contacted via phone (253) 761-4200.

Contact Information

Primary practice address
1304 Fawcett Ave Ste 100 Tacoma WA 98402-1900
Phone: (253) 761-4200
Fax: (253) 761-4201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X MD167073 Oregon
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X MD60453057 Washington
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD167073 Oregon
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD60453057 Washington

Profile Details

NPI number 1205095460
LBN Legal business name Cardinal, Jeremy Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2008
Last updated Jul 9th, 2024 - about last year

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 1205095460 NPPES
Washington Other 0338843 L&I-TRA REST OF WA
Washington Other 0395156 L&I-TRA REST OF WA
Washington Other 0338848 L&I-TRA REST OF WA
Washington Other 0338844 L&I-TRA REST OF WA
Washington MEDICAID 2036371 L&I-TRA REST OF WA
Washington MEDICAID 500670649 L&I-TRA REST OF WA

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