Goon, Jeffrey J

Goon, Jeffrey J is an individual health care provider with primary practice located at 400 S 43Rd St , Renton WA 98055-5714. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Goon, Jeffrey J can be contacted via phone (425) 228-3450.

Contact Information

Primary practice address
400 S 43Rd St Renton WA 98055-5714
Phone: (425) 228-3450
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA10003631 Washington

Profile Details

NPI number 1407968670
LBN Legal business name Goon, Jeffrey J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jun 21st, 2010 - about 15 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 1407968670 NPPES
Washington Other 5231GO REGENCE B/S PROV #
Washington Other 137157 REGENCE B/S PROV #

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