Azen, Jennifer Lynn
Azen, Jennifer Lynn is an individual health care provider with primary practice located at 23213 Pacific Hwy S. , Kent WA 98032-2721. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Azen, Jennifer Lynn can be contacted via phone (206) 543-0065.Contact Information
Primary practice address
23213 Pacific Hwy S.
Kent WA 98032-2721
Phone: (206) 543-0065
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD60180385 | Washington |
Profile Details
| NPI number | 1073703294 |
|---|---|
| LBN Legal business name | Azen, Jennifer Lynn |
| Credentials | M.D., M.P.H. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2007 |
| Last updated | Oct 22nd, 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 | 1073703294 | NPPES |
| Washington | MEDICAID | 1073703294 | |
| Washington | Other | 0269492 |
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