Jovanovich, Theresa A

Jovanovich, Theresa A is an individual health care provider with primary practice located at 33501 1St Way S , Federal Way WA 98003-6208. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Jovanovich, Theresa A can be contacted via phone (253) 838-2400.

Contact Information

Primary practice address
33501 1St Way S Federal Way WA 98003-6208
Phone: (253) 838-2400
Fax: (253) 874-1634
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA10004066 Washington

Profile Details

NPI number 1356490486
LBN Legal business name Jovanovich, Theresa A
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Dec 31st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356490486 NPPES
Washington Other 970030800 RAILROAD MC#
Washington Other 0335JO RAILROAD MC#
Washington MEDICAID 8362543 RAILROAD MC#
Washington Other 0039594 RAILROAD MC#
Washington Other US7233432 RAILROAD MC#

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