Mcbride, Jonathan E.G.

Mcbride, Jonathan E.G. is an individual health care provider with primary practice located at 3705 S Meridian Ste B , Puyallup WA 98373-3709. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mcbride, Jonathan E.G. can be contacted via phone (253) 765-5050.

Contact Information

Primary practice address
3705 S Meridian Ste B Puyallup WA 98373-3709
Phone: (253) 765-5050
Fax: (844) 695-2929
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD26965 Oregon
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00046768 Washington
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD00046768 Washington

Profile Details

NPI number 1225135221
LBN Legal business name Mcbride, Jonathan E.G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jun 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225135221 NPPES
Washington MEDICAID 1038955
Washington MEDICAID 028419

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