Clar De Jesus, Teresita A
Clar De Jesus, Teresita A is an sole proprietor health care provider with primary practice located at 521 N Young St Kgh Medical Mall, Kennewick WA 99336-7806. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Clar De Jesus, Teresita A can be contacted via phone (509) 585-5222.Contact Information
Primary practice address
521 N Young St Kgh Medical Mall
Kennewick WA 99336-7806
Phone: (509) 585-5222
Fax: (509) 585-5271
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD00037685 | Washington |
Profile Details
| NPI number | 1457304347 |
|---|---|
| LBN Legal business name | Clar De Jesus, Teresita A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 19th, 2006 |
| Last updated | Jul 12th, 2010 - about 15 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 | 1457304347 | NPPES |
| Washington | MEDICAID | 8246712 |
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