Gatzke, Janice M

Gatzke, Janice M is an individual health care provider with primary practice located at 1415 E Kincaid St , Mount Vernon WA 98274-4126. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Gatzke, Janice M can be contacted via phone (360) 428-2501.

Contact Information

Primary practice address
1415 E Kincaid St Mount Vernon WA 98274-4126
Fax: (360) 428-2596
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OP60674772 Washington
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X OP60674772 Washington

Profile Details

NPI number 1790195436
LBN Legal business name Gatzke, Janice M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2014
Last updated Oct 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790195436 NPPES
Washington MEDICAID 2037598

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