Antoine, Jamie R

Antoine, Jamie R is an individual health care provider with primary practice located at 12911 120Th Ave Ne Ste H210 , Kirkland WA 98034. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Antoine, Jamie R can be contacted via phone (425) 823-4000.

Contact Information

Primary practice address
12911 120Th Ave Ne Ste H210 Kirkland WA 98034
Phone: (425) 823-4000
Fax: (425) 821-3550
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X MD60007110 Washington
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD60007110 Washington

Profile Details

NPI number 1114022969
LBN Legal business name Antoine, Jamie R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Mar 23rd, 2022 - about 2 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 1114022969 NPPES
Washington MEDICAID 1090846

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