Joseph, Jackline S.
Joseph, Jackline S. is an individual health care provider with primary practice located at 2103 152Nd Ave Ne , Redmond WA 98052-5520. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Joseph, Jackline S. can be contacted via phone (425) 746-2400.Contact Information
Primary practice address
2103 152Nd Ave Ne
Redmond WA 98052-5520
Phone: (425) 746-2400
Fax: (425) 746-2659
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD34703 | Washington |
Profile Details
| NPI number | 1407889173 |
|---|---|
| LBN Legal business name | Joseph, Jackline S. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1407889173 | NPPES |
| Washington | MEDICAID | 8206682 |
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