Speaker, Jill
Speaker, Jill is an individual health care provider with primary practice located at 900 Ne 139Th St Suite 202, Vancouver WA 98685-2513. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Speaker, Jill can be contacted via phone (360) 566-9355.Contact Information
Primary practice address
900 Ne 139Th St Suite 202
Vancouver WA 98685-2513
Phone: (360) 566-9355
Fax: (360) 816-1327
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD00041013 | Washington |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD00041013 | Washington |
Profile Details
| NPI number | 1609913243 |
|---|---|
| LBN Legal business name | Speaker, Jill |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2007 |
| Last updated | Nov 6th, 2015 - about 11 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 | 1609913243 | NPPES |
| Washington | MEDICAID | 7125131 |
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