Jin, Jonathan Y

Jin, Jonathan Y is an individual health care provider with primary practice located at 8511 S Tacoma Way # 200 , Lakewood WA 98499. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Jin, Jonathan Y can be contacted via phone (253) 588-4015.

Contact Information

Primary practice address
8511 S Tacoma Way # 200 Lakewood WA 98499
Fax: (253) 588-4035
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00029836 Washington

Profile Details

NPI number 1790776284
LBN Legal business name Jin, Jonathan Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Jun 25th, 2018 - about 8 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 1790776284 NPPES
Washington MEDICAID 1077437
Washington Other 912163079

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