Keenan, Jolie Guevara
Keenan, Jolie Guevara is an individual health care provider with primary practice located at 1624 S I St Ste 405 , Tacoma WA 98405-5094. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Keenan, Jolie Guevara can be contacted via phone (253) 274-4545.Contact Information
Primary practice address
1624 S I St Ste 405
Tacoma WA 98405-5094
Phone: (253) 274-4545
Fax: (253) 274-4599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 61018591 | Washington |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | MD61018591 | Washington |
Profile Details
| NPI number | 1407236417 |
|---|---|
| LBN Legal business name | Keenan, Jolie Guevara |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2015 |
| Last updated | May 9th, 2023 - about 3 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 | 1407236417 | NPPES |
| Washington | MEDICAID | 2163044 |
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