Kjos, Martha Joyce
Kjos, Martha Joyce is an individual health care provider with primary practice located at 8299 161St Ave Ne Suite 101, Redmond WA 98052-3860. 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. Kjos, Martha Joyce can be contacted via phone (425) 881-8813.Contact Information
Primary practice address
8299 161St Ave Ne Suite 101
Redmond WA 98052-3860
Phone: (425) 881-8813
Fax: (425) 869-7201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA10003804 | Washington |
Profile Details
| NPI number | 1427030394 |
|---|---|
| LBN Legal business name | Kjos, Martha Joyce |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Feb 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427030394 | NPPES |
| Washington | MEDICAID | 8355612 | |
| Washington | Other | 970014933 | |
| Washington | Other | 127603 | |
| Washington | Other | KJ3097 |
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