Gillette, Jimy E

Gillette, Jimy E is an individual health care provider with primary practice located at 19116 33Rd Ave W , Lynnwood WA 98036-4706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gillette, Jimy E can be contacted via phone (425) 771-7500.

Contact Information

Primary practice address
19116 33Rd Ave W Lynnwood WA 98036-4706
Phone: (425) 771-7500
Fax: (425) 712-7903
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00043162 Washington

Profile Details

NPI number 1821108713
LBN Legal business name Gillette, Jimy E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Feb 1st, 2013 - about 12 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 1821108713 NPPES
Washington MEDICAID 8390767
Washington Other 0039581
Washington Other 6914GI
Washington Other US7405495

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