Kampp, Jeremy

Kampp, Jeremy is an sole proprietor health care provider with primary practice located at 4225 Roosevelt Way Ne , Seattle WA 98105-6099. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Kampp, Jeremy can be contacted via phone (206) 598-4067.

Contact Information

Primary practice address
4225 Roosevelt Way Ne Seattle WA 98105-6099
Phone: (206) 598-4067
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X MD60320800 Washington
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 207ND0101X Washington

Profile Details

NPI number 1730390055
LBN Legal business name Kampp, Jeremy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2007
Last updated Mar 5th, 2014 - about 10 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 1730390055 NPPES
Washington MEDICAID 1730390055

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