Jungkeit, Michael C

Jungkeit, Michael C is an sole proprietor health care provider with primary practice located at 22180 Olympic College Way Ste 202 , Poulsbo WA 98370-6664. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Jungkeit, Michael C can be contacted via phone (360) 697-1414.

Contact Information

Primary practice address
22180 Olympic College Way Ste 202 Poulsbo WA 98370-6664
Fax: (360) 697-3939
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD00033350 Washington

Profile Details

NPI number 1821170895
LBN Legal business name Jungkeit, Michael C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2006
Last updated Jun 8th, 2011 - 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 1821170895 NPPES
Washington MEDICAID 1096932

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