Ford, John Kenneth

Ford, John Kenneth is an individual health care provider with primary practice located at 3407 E M St , Tacoma WA 98404-3931. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Ford, John Kenneth can be contacted via phone (206) 275-9705.

Contact Information

Primary practice address
3407 E M St Tacoma WA 98404-3931
Phone: (206) 275-9705
Fax: (425) 484-6425
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X PO00000753 Washington

Profile Details

NPI number 1104819465
LBN Legal business name Ford, John Kenneth
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Apr 30th, 2017 - about 8 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 1104819465 NPPES
Washington MEDICAID 1118249
Washington Other 0177187

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