Gamson, Jonathan C

Gamson, Jonathan C is an individual health care provider with primary practice located at 2116 East Section Street , Mount Vernon WA 98274-9124. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gamson, Jonathan C can be contacted via phone (360) 428-1700.

Contact Information

Primary practice address
2116 East Section Street Mount Vernon WA 98274-9124
Fax: (360) 848-4350
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00036055 Washington

Profile Details

NPI number 1639172927
LBN Legal business name Gamson, Jonathan C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Feb 25th, 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 1639172927 NPPES
Washington MEDICAID 8239238
Washington Other 0145679

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