Drezner, Jonathan Adam

Drezner, Jonathan Adam is an individual health care provider with primary practice located at Uwmc-Roosevelt 4245 Roosevelt Way Ne, Seattle WA 98105-4770. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Drezner, Jonathan Adam can be contacted via phone (206) 598-4055.

Contact Information

Primary practice address
Uwmc-Roosevelt 4245 Roosevelt Way Ne Seattle WA 98105-4770
Phone: (206) 598-4055
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X MD00036878 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00036878 Washington

Profile Details

NPI number 1346326121
LBN Legal business name Drezner, Jonathan Adam
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Mar 22nd, 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 1346326121 NPPES
Other 2000323 INTERNAL ID-MOTOR VEHICLE ID
Other 080161897 INTERNAL ID-MOTOR VEHICLE ID
MEDICAID 8247389 INTERNAL ID-MOTOR VEHICLE ID

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