Andre, Jalal B
Andre, Jalal B is an individual health care provider with primary practice located at 1959 Ne Pacific Street, Nw011 Box 357115, Seattle WA 98195-7115. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Andre, Jalal B can be contacted via phone (206) 598-8766.Contact Information
Primary practice address
1959 Ne Pacific Street, Nw011 Box 357115
Seattle WA 98195-7115
Phone: (206) 598-8766
Fax: (206) 598-8475
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | A107739 | California |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD60217663 | Washington |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1063611275 |
|---|---|
| LBN Legal business name | Andre, Jalal B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2007 |
| Last updated | Jun 18th, 2012 - about 12 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 | 1063611275 | NPPES |
| New Jersey | Other | 390200000X | MONMOUTH |
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