Gunn, Jack Matthew
Gunn, Jack Matthew is an individual health care provider with primary practice located at 110 S 9Th Ave , Yakima WA 98902-3315. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Gunn, Jack Matthew can be contacted via phone (509) 574-4440.Contact Information
Primary practice address
110 S 9Th Ave
Yakima WA 98902-3315
Phone: (509) 574-4440
Fax: (509) 574-4481
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD00039736 | Washington |
Profile Details
| NPI number | 1831150754 |
|---|---|
| LBN Legal business name | Gunn, Jack Matthew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2006 |
| Last updated | Jul 10th, 2007 - about 19 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 | 1831150754 | NPPES |
| Washington | MEDICAID | 8313694 |
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