Datloff, Joel H

Datloff, Joel H is an individual health care provider with primary practice located at 8614 E Mill Plain Blvd Suite 400, Vancouver WA 98664-2059. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Datloff, Joel H can be contacted via phone (360) 254-5267.

Contact Information

Primary practice address
8614 E Mill Plain Blvd Suite 400 Vancouver WA 98664-2059
Fax: (360) 254-6089
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD00023811 Washington

Profile Details

NPI number 1477581817
LBN Legal business name Datloff, Joel H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Jan 3rd, 2011 - about 13 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 1477581817 NPPES
Washington MEDICAID 1027416

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