Jacob, Shalini Mary

Jacob, Shalini Mary is an individual health care provider with primary practice located at 413 Lilly Rd Ne Pmg Sw Wa Psph Hospitalists, Olympia WA 98506-5133. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Jacob, Shalini Mary can be contacted via phone (360) 493-4069.

Contact Information

Primary practice address
413 Lilly Rd Ne Pmg Sw Wa Psph Hospitalists Olympia WA 98506-5133
Phone: (360) 493-4069
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00036705 Washington
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 27907 Oregon

Profile Details

NPI number 1144206038
LBN Legal business name Jacob, Shalini Mary
Credentials M.D., MRCP, FACP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Jun 1st, 2021 - about 3 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 1144206038 NPPES
Washington MEDICAID 8245243

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