King, Jessica J
King, Jessica J is an sole proprietor health care provider with primary practice located at 21600 Highway 99 Suite 280, Edmonds WA 98026-8012. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. King, Jessica J can be contacted via phone (425) 774-2616.Contact Information
Primary practice address
21600 Highway 99 Suite 280
Edmonds WA 98026-8012
Phone: (425) 774-2616
Fax: (425) 774-2660
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA10004077 | Washington |
Profile Details
| NPI number | 1528000759 |
|---|---|
| LBN Legal business name | King, Jessica J |
| Credentials | PA C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Nov 19th, 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 | 1528000759 | NPPES |
| Washington | Other | 1594KI | BSWA |
| Washington | Other | 2164KI | BSWA |
| Washington | MEDICAID | 8348898 | BSWA |
| Washington | Other | 0147109 | BSWA |
| Washington | Other | 0171360 | BSWA |
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