Jenkins, Jill L

Jenkins, Jill L is an individual health care provider with primary practice located at 800 W 5Th Ave , Spokane WA 99204-2803. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is her primary health care specialty. Jenkins, Jill L can be contacted via phone (509) 458-5800.

Contact Information

Primary practice address
800 W 5Th Ave Spokane WA 99204-2803
Fax: (509) 473-4050
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 207PE0005X MD00027806 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00027806 Washington

Profile Details

NPI number 1932298080
LBN Legal business name Jenkins, Jill L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Oct 30th, 2008 - 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 1932298080 NPPES
Idaho MEDICAID 805076100
Idaho MEDICAID 8118630

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