Jerome, Jerome T

Jerome, Jerome T is an individual health care provider with primary practice located at 817 Commercial St , Leavenworth WA 98826-1316. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Jerome, Jerome T can be contacted via phone (509) 548-3431.

Contact Information

Primary practice address
817 Commercial St Leavenworth WA 98826-1316
Phone: (509) 548-3431
Fax: (509) 548-2510
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD00036567 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00036567 Washington

Profile Details

NPI number 1225047566
LBN Legal business name Jerome, Jerome T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Nov 7th, 2022 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1225047566 NPPES
Washington Other 260172 DEPARTMENT OF LABOR & INDUSTRIES
Washington MEDICAID 8240475 DEPARTMENT OF LABOR & INDUSTRIES
Washington Other 456484 DEPARTMENT OF LABOR & INDUSTRIES
Washington MEDICAID G8894617 DEPARTMENT OF LABOR & INDUSTRIES

Popular Providers