Geffen, Jon Ferrell
Geffen, Jon Ferrell is an individual health care provider with primary practice located at 1515 Martin Luther King Jr Way , Tacoma WA 98405-3933. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Geffen, Jon Ferrell can be contacted via phone (253) 572-2663.Contact Information
Primary practice address
1515 Martin Luther King Jr Way
Tacoma WA 98405-3933
Phone: (253) 572-2663
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | OP00001971 | Washington |
Profile Details
| NPI number | 1205908340 |
|---|---|
| LBN Legal business name | Geffen, Jon Ferrell |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2006 |
| Last updated | Feb 3rd, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205908340 | NPPES |
| Washington | MEDICAID | 1121672 | |
| Washington | Other | 610554600 | |
| Washington | Other | 0195192 |
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