Jaccard, John T
Jaccard, John T is an individual health care provider with primary practice located at 107 S Division St , Spokane WA 99202-1510. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Jaccard, John T can be contacted via phone (509) 838-4651.Contact Information
Primary practice address
107 S Division St
Spokane WA 99202-1510
Phone: (509) 838-4651
Fax: (509) 363-2762
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD00031446 | Washington |
Profile Details
| NPI number | 1194720920 |
|---|---|
| LBN Legal business name | Jaccard, John T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2005 |
| Last updated | Jul 26th, 2011 - about 14 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 | 1194720920 | NPPES |
| Washington | MEDICAID | 8246266 |
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