Kooiker, Jon Christian
Kooiker, Jon Christian is an individual health care provider with primary practice located at 525 Lilly Rd Ne , Olympia WA 98506-5101. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kooiker, Jon Christian can be contacted via phone (360) 413-8551.Contact Information
Primary practice address
525 Lilly Rd Ne
Olympia WA 98506-5101
Phone: (360) 413-8551
Fax: (360) 413-8827
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD00014128 | Washington |
Profile Details
| NPI number | 1568420180 |
|---|---|
| LBN Legal business name | Kooiker, Jon Christian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Jun 16th, 2021 - about 4 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 | 1568420180 | NPPES |
| Washington | MEDICAID | 1470103 |
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