Jones, Peter Gaylord

Jones, Peter Gaylord is an individual health care provider with primary practice located at 4011 Talbot Rd S #210, Renton WA 98055-5773. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Jones, Peter Gaylord can be contacted via phone (425) 255-4250.

Contact Information

Primary practice address
4011 Talbot Rd S #210 Renton WA 98055-5773
Fax: (425) 271-3294
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD00023016 Washington

Profile Details

NPI number 1295793792
LBN Legal business name Jones, Peter Gaylord
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Jul 27th, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295793792 NPPES
Washington MEDICAID 1071919

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