Jackson, Amanda Price
Jackson, Amanda Price is an individual health care provider with primary practice located at 4410 106Th St Sw , Mukilteo WA 98275-4700. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Jackson, Amanda Price can be contacted via phone (425) 493-6004.Contact Information
Primary practice address
4410 106Th St Sw
Mukilteo WA 98275-4700
Phone: (425) 493-6004
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD45776 | Washington |
Profile Details
| NPI number | 1366451999 |
|---|---|
| LBN Legal business name | Jackson, Amanda Price |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Dec 11th, 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 | 1366451999 | NPPES |
| Washington | MEDICAID | 1091558 |
Popular Providers
-
Fankhauser, Bradley K
4410 106Th St Sw , Mukilteo WA 98275-4700 -
Beard, John Mark
4410 106Th St Sw , Mukilteo WA 98275-4700 -
Kohn, Elizabeth Rosemary
4410 106Th St Sw , Mukilteo WA 98275-4700 -
Saul, Marcia H
4410 106Th St Sw , Mukilteo WA 98275-4700 -
Olsson, Roger B.
11601 Harbour Pointe B Lvd Suite 200, Mukilteo WA 98275-5566 -
Bibby, Christoper J
4410 106Th St Sw , Mukilteo WA 98275-4700 -
Brogren, Julie K
4410 106Th St Sw , Mukilteo WA 98275-4700 -
Bumstead, Katherine D.
4112 Harbour Pointe Blvd Sw Suite 100, Mukilteo WA 98275-5457