Kampp, Jeremy
Kampp, Jeremy is an sole proprietor health care provider with primary practice located at 4225 Roosevelt Way Ne , Seattle WA 98105-6099. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Kampp, Jeremy can be contacted via phone (206) 598-4067.Contact Information
Primary practice address
4225 Roosevelt Way Ne
Seattle WA 98105-6099
Phone: (206) 598-4067
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | MD60320800 | Washington |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 207ND0101X | Washington |
Profile Details
| NPI number | 1730390055 |
|---|---|
| LBN Legal business name | Kampp, Jeremy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 25th, 2007 |
| Last updated | Mar 5th, 2014 - about 12 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 | 1730390055 | NPPES |
| Washington | MEDICAID | 1730390055 |
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