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
Phone: (360) 254-5267
Fax: (360) 254-6089
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1477581817 | NPPES |
Washington | MEDICAID | 1027416 |
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