Atwood, Jesse W

Atwood, Jesse W is an sole proprietor health care provider with primary practice located at 2500 S Woodworth Loop , Palmer AK 99645-8984. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Atwood, Jesse W can be contacted via phone (907) 861-6000.

Contact Information

Primary practice address
2500 S Woodworth Loop Palmer AK 99645-8984
Phone: (907) 861-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 7328 Alaska

Profile Details

NPI number 1700894664
LBN Legal business name Atwood, Jesse W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2006
Last updated Mar 23rd, 2023 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1700894664 NPPES
Washington MEDICAID 8355976
Washington MEDICAID MD4770

Popular Providers