Joseph, Jackline S.

Joseph, Jackline S. is an individual health care provider with primary practice located at 2103 152Nd Ave Ne , Redmond WA 98052-5520. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Joseph, Jackline S. can be contacted via phone (425) 746-2400.

Contact Information

Primary practice address
2103 152Nd Ave Ne Redmond WA 98052-5520
Fax: (425) 746-2659
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD34703 Washington

Profile Details

NPI number 1407889173
LBN Legal business name Joseph, Jackline S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2006
Last updated Jul 8th, 2007 - 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 1407889173 NPPES
Washington MEDICAID 8206682

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