Jester, David C

Jester, David C is an individual health care provider with primary practice located at 915 Anderson Dr , Aberdeen WA 98520-1006. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Jester, David C can be contacted via phone (360) 537-6113.

Contact Information

Primary practice address
915 Anderson Dr Aberdeen WA 98520-1006
Fax: (360) 537-6146
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OP00000936 Washington

Profile Details

NPI number 1013957182
LBN Legal business name Jester, David C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jul 17th, 2007 - about 18 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 1013957182 NPPES
Washington MEDICAID 8100331

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