Depaepe, Jessica L

Depaepe, Jessica L is an individual health care provider with primary practice located at 11511 Ne 10Th St , Bellevue WA 98004-8578. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as her primary health care specialty. Depaepe, Jessica L can be contacted via phone (425) 502-3000.

Contact Information

Primary practice address
11511 Ne 10Th St Bellevue WA 98004-8578
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X MD00038693 Washington

Profile Details

NPI number 1548207939
LBN Legal business name Depaepe, Jessica L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Mar 30th, 2021 - about 3 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 1548207939 NPPES
Washington Other 3056DE REGENCE B/S PROV #
Washington Other 185389 REGENCE B/S PROV #
Washington MEDICAID 8257065 REGENCE B/S PROV #
Washington Other 930093398 REGENCE B/S PROV #

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