Jog, Shilpa

Jog, Shilpa is an individual health care provider with primary practice located at 3901 Hoyt Ave , Everett WA 98201-4918. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Jog, Shilpa can be contacted via phone (425) 339-5420.

Contact Information

Primary practice address
3901 Hoyt Ave Everett WA 98201-4918
Phone: (425) 339-5420
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00048506 Washington
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD00048506 Washington

Profile Details

NPI number 1154516268
LBN Legal business name Jog, Shilpa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2007
Last updated Dec 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154516268 NPPES
Washington Other MD00048506 STATE LICENSE
Washington MEDICAID 1057747 STATE LICENSE

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