Raetz, Jaqueline Gm

Raetz, Jaqueline Gm is an individual health care provider with primary practice located at 1455 Nw Leary Way Ste 145 , Seattle WA 98107-5124. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Raetz, Jaqueline Gm can be contacted via phone (206) 520-5000.

Contact Information

Primary practice address
1455 Nw Leary Way Ste 145 Seattle WA 98107-5124
Phone: (206) 520-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00042941 Washington
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X MD00042941 Washington
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X MD00042941 Washington

Profile Details

NPI number 1881770535
LBN Legal business name Raetz, Jaqueline Gm
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Sep 18th, 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 1881770535 NPPES
Washington MEDICAID 1881770535

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