Macon, James D

Macon, James D is an individual health care provider with primary practice located at 20200 54Th Ave W , Lynnwood WA 98036-6318. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Macon, James D can be contacted via phone (425) 672-6400.

Contact Information

Primary practice address
20200 54Th Ave W Lynnwood WA 98036-6318
Phone: (425) 672-6400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD00019900 Washington

Profile Details

NPI number 1447398565
LBN Legal business name Macon, James D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated Jul 30th, 2007 - about 18 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 1447398565 NPPES
Washington MEDICAID 8323909

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