Jaffy, Matthew Brian

Jaffy, Matthew Brian is an individual health care provider with primary practice located at 1355 N 205Th St , Shoreline WA 98133-3215. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jaffy, Matthew Brian can be contacted via phone (206) 542-5656.

Contact Information

Primary practice address
1355 N 205Th St Shoreline WA 98133-3215
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00043466 Washington

Profile Details

NPI number 1992880702
LBN Legal business name Jaffy, Matthew Brian
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Aug 27th, 2012 - 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 1992880702 NPPES
Washington Other 0183711 L&I
Washington Other 206760 L&I
Washington Other P00784679 L&I
Washington MEDICAID 1992880702 L&I

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