Jenkins, Claire Southern
Jenkins, Claire Southern is an individual health care provider with primary practice located at 1355 N 205Th St , Shoreline WA 98133-3215. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Jenkins, Claire Southern can be contacted via phone (206) 542-5656.Contact Information
Primary practice address
1355 N 205Th St
Shoreline WA 98133-3215
Phone: (206) 542-5656
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00044288 | Washington |
Profile Details
| NPI number | 1619067550 |
|---|---|
| LBN Legal business name | Jenkins, Claire Southern |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Oct 26th, 2012 - about 14 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 | 1619067550 | NPPES |
| Other | 327360 | INTERNAL ID-MOTOR VEHICLE ID | |
| MEDICAID | 1619067550 | INTERNAL ID-MOTOR VEHICLE ID | |
| Other | 0191609 | INTERNAL ID-MOTOR VEHICLE ID |
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