Handley, Jack K

Handley, Jack K is an individual health care provider with primary practice located at 12040 Ne 128Th St , Kirkland WA 98034-3013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Handley, Jack K can be contacted via phone (425) 899-1000.

Contact Information

Primary practice address
12040 Ne 128Th St Kirkland WA 98034-3013
Phone: (425) 899-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD00036702 Washington

Profile Details

NPI number 1811936024
LBN Legal business name Handley, Jack K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Dec 4th, 2007 - about 17 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 1811936024 NPPES
Other 184577 WA L & I
Other 8938304 WA L & I
MEDICAID 8237216 WA L & I
Other HA3927 WA L & I
Other G85988 WA L & I

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