Jazaieri, Mohammad

Jazaieri, Mohammad is an sole proprietor health care provider with primary practice located at 10317 177Th Ave E , Bonney Lake WA 98391-5156. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Jazaieri, Mohammad can be contacted via phone (785) 260-6628.

Contact Information

Primary practice address
10317 177Th Ave E Bonney Lake WA 98391-5156
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH 60373087 Washington

Profile Details

NPI number 1154871432
LBN Legal business name Jazaieri, Mohammad
Credentials PH.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2016
Last updated Oct 10th, 2016 - 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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