Birnbaum, Jack A.
Birnbaum, Jack A. is an individual health care provider with primary practice located at 2011 Nw Myhre Pl , Silverdale WA 98383-8561. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Birnbaum, Jack A. can be contacted via phone (360) 830-1604.Contact Information
Primary practice address
2011 Nw Myhre Pl
Silverdale WA 98383-8561
Phone: (360) 830-1604
Fax: (360) 830-1695
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | MD00029892 | Washington |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD00029892 | Washington |
Profile Details
NPI number | 1801845268 |
---|---|
LBN Legal business name | Birnbaum, Jack A. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 10th, 2006 |
Last updated | Mar 7th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1801845268 | NPPES |
Washington | Other | 31818 | LABOR & INDUSTRY |
Washington | Other | BI8918 | LABOR & INDUSTRY |
Washington | Other | 110055680 | LABOR & INDUSTRY |
Washington | Other | 4394063 | LABOR & INDUSTRY |
Washington | MEDICAID | 8140972 | LABOR & INDUSTRY |
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