Fish, Jonathan W

Fish, Jonathan W is an individual health care provider with primary practice located at 1990 Hospital Drive Suite 100, Sedro-Wooley WA 98284-9315. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fish, Jonathan W can be contacted via phone (360) 856-4141.

Contact Information

Primary practice address
1990 Hospital Drive Suite 100 Sedro-Wooley WA 98284-9315
Fax: (360) 856-4145
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00039820 Washington

Profile Details

NPI number 1629039599
LBN Legal business name Fish, Jonathan W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Jul 8th, 2007 - about 17 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 1629039599 NPPES
Washington MEDICAID 8275984

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