Chamberlain, Jennifer

Chamberlain, Jennifer is an individual health care provider with primary practice located at 12104 E Main Ave , Spokane Valley WA 99206-6105. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Chamberlain, Jennifer can be contacted via phone (866) 904-7721.

Contact Information

Primary practice address
12104 E Main Ave Spokane Valley WA 99206-6105
Phone: (866) 904-7721
Fax: (509) 576-8685
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP30001056 Washington

Profile Details

NPI number 1285611905
LBN Legal business name Chamberlain, Jennifer
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Nov 22nd, 2013 - about 13 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 1285611905 NPPES
Washington MEDICAID 7148406
Washington MEDICAID 7922404

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