Juster, Jeanette I
Juster, Jeanette I is an individual health care provider with primary practice located at 600 Ne 92Nd Ave , Vancouver WA 98664-3225. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Juster, Jeanette I can be contacted via phone (360) 514-2142.Contact Information
Primary practice address
600 Ne 92Nd Ave
Vancouver WA 98664-3225
Phone: (360) 514-2142
Fax: (360) 514-6820
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD00016838 | Washington |
Profile Details
NPI number | 1720026925 |
---|---|
LBN Legal business name | Juster, Jeanette I |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 2nd, 2006 |
Last updated | Sep 26th, 2012 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1720026925 | NPPES |
Oregon | MEDICAID | 278163 | |
Oregon | MEDICAID | 8619207 |
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