Dodge, James Theodore

Dodge, James Theodore is an individual health care provider with primary practice located at 1201 S Miller St Ste A , Wenatchee WA 98801-3201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Dodge, James Theodore can be contacted via phone (509) 663-8711.

Contact Information

Primary practice address
1201 S Miller St Ste A Wenatchee WA 98801-3201
Phone: (509) 663-8711
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X MD00031058 Washington

Profile Details

NPI number 1619905429
LBN Legal business name Dodge, James Theodore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Jul 14th, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619905429 NPPES
Washington Other 315914 WVH LNI
Washington Other P01256388 WVH LNI
Washington MEDICAID 1619905429 WVH LNI

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