Dettori, Jason

Dettori, Jason is an individual health care provider with primary practice located at 2930 Maple St , Everett WA 98201-3832. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Dettori, Jason can be contacted via phone (425) 261-1500.

Contact Information

Primary practice address
2930 Maple St Everett WA 98201-3832
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD60236693 Washington
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD60236693 Washington

Profile Details

NPI number 1124281076
LBN Legal business name Dettori, Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2008
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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